GOVERNMENT OF ANDHRA PRADESH ABSTRACT Health, Medical and Family Welfare – Employees Health Scheme – Notification and adoption of ‘Final Therapy Prices’ - Orders – Issued. HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT Dated: 01-11-2013. Read the following:

G.O.Ms.No. 176

1. G.O.Ms.No.227 HM&FW (K2) Dept dated 09-06-2006. 2. G.O.Ms.No.184 HM&FW(M2) Dept dated 14-08-2012. 3. Govt Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06/02/2013. 4. Representation dated 30-03-2013 received from AP Speciality Hospitals Association (ASHA). 5. Representation dated:03-04-2013 received from AP Private Hospitals & Nursing Homes Association (APNA). 6. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter No.2349 /P&C/F.49/2013 dated 26-04-2013. 7. Govt Letter No.21233/M2/2012-4 HM&FW(M2) Dept dt.2904-2013. 8. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter No.AST/2349 /P&C/F.49/2013 dated 2904-2013. 9. G.O.Ms.No.87 HM&FW (M2) Dept dated 27-06-2013. 10. From the Chief Executive Officer,Aarogyasri Healthcare Trust Letter No.AST/ 4768 /P&C/F.49/ 2013, dated: 06-09-2013. 11. Government Memo.No.16977/M2/2010, Dated: 30/10/2013. 12. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Letter No.AST/ 4768 /P&C/F.49/ 2013, dated: 30-10-2013. 13. G.O.Ms.No.174, HM&FW (M2) Dept. Dated: 01/11/2013. 14. G.O.Ms.No.175, HM&FW (M2) Dept. Dated:01/11/2013. ORDER:

-:oOo:-

Rajiv Aarogyasri Scheme (RAS) is being implemented by Government from 01.04.2007 to financially assist 233 lakh poor families to avail medical treatment for identified diseases covering 938 In-patient (IP) therapies and 125 follow-up therapies vide G.O. first read above. Government have also decided to implement a similar cashless scheme (Employees Health Scheme) for Government pensioners and employees with coverage envisaged in APIMA rules, 1972 vide G.O. 2nd read above. Aarogyasri Healthcare Trust, after deliberations and in consultation with specialists, has identified additional IP therapies for inclusion in employees health scheme, in addition to Aarogyasri packages. 2. AP Speciality Hospitals Association (ASHA) and A P Private Hospitals & Nursing Homes Association (APNA) representing the private hospitals empanelled under Rajiv Aarogyasri Scheme, submitted representations to Government, seeking revision of the package rates for Rajiv Aarogyasri Scheme and also clarifications on certain other issues. In Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06-02-2013, Government have constituted a committee headed by Principal Finance Secretary and consisting of Principal Secretary to Government, Health Medical & Family Welfare Department, Commissioner, A.P. Contd. P.2.,

-2-

Vaidhya Vidhana Parishad, Director of Medical Education, as members, Chief Executive Officer, Aarogyasri Health Care Trust as member-convenor, and two representatives each from ASHA and APNA as members for examining the grievances of ASHA and APNA. The Committee, after detailed discussions and deliberations submitted its recommendations to the Government. 3. Government issued orders in the G.O. 9th read above, by notifying the ‘Input Code Book’, ‘Standard Schedule of Rates for 2012-13’, and the ‘Final Therapy Prices ’, for being adopted by the Aarogyasri Health Care Trust for determining the package rates for treatment of patients in empanelled hospitals, for Rajiv Aarogyasri Scheme. 4. In the letter 10th read above, the Chief Executive Officer, Aarogyasri Healthcare Trust has submitted the ‘Final Therapy prices for Employees Health Scheme’ which include additional therapies in addition to the existing Aarogyasri therapies, prepared basing on the ‘Input Code Book’ and ‘Standard Scheduled of Rates (SSR 2012-13)’ already notified in the G.O. 9th read above. These final therapy prices are inclusive of OP evaluation. 5. In the G.O., 9th read above, Standard Schedule of Rates for 2012-13 are approved according to which Rs.900/- per day is the rate prescribed for General Ward. Government have decided to consider Rs.1200/- per day for stay in semi-private ward and Rs.1500/- per day for private ward in the non-NABH accredited hospitals. In so far as the NABH accredited hospitals are concerned, the rates would be Rs.1500/- per day for semiprivate ward and Rs.2000/- per day for private ward. This would be an incentive to the NABH accredited hospitals for promoting quality of health care. The APIMA Rules adopt CGHS norms and the CGHS prescribes incentives to the NABH accredited hospitals for promoting quality of health care. Hence, NABH hospitals are considered for higher tariff so far as hospital stay is concerned. Moreover, the scheme will be reviewed after obtaining the actual data for six months, the rationalization of the above prices for semi-private ward and private wards would also be considered in the review. The Chief Executive Officer, Aarogyasri Health Care Trust will carefully monitor the implementation of the Scheme and after obtaining the actual data for six months, will place the same before the Steering Committee for considering rationalization of the above prices for semi-private ward and private wards. 6.

Government after careful examination hereby issue the following orders:a.

List of therapies and the package prices are placed in the Annexure. These shall be adopted by Aarogyasri Health Care Trust for treatment of patients in empanelled hospitals, under the Employees Health Scheme.

b.

The Chief Executive Officer, Aarogyasri Healthcare Trust is authorized to include any additional inputs, which may be required during the course of implementation of the scheme, code them, finalise the prices and append the same in the Medical Input Code Book and Standard Schedule of Rates (SSR) subsequently.

c.

The following standard schedule of Rates are hereby approved i.

Stay in Semiprivate ward Rs.1,200/- per day in non-NABH accredited hospitals and Rs.1,500/- per day in NABH accredited hospitals. Contd. P.3., -3-

ii.

Stay in Private ward Rs.1,500/- per day in non-NABH accredited hospitals and Rs.2,000/- per day in NABH accredited hospitals.

7. The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad shall take further necessary action, accordingly in the matter. 8. This order issues with the concurrence of Finance (Expr.M&H.1) vide their U.O.No.360/A1/Expr.M&H.I/2013, Dated: 26/10/2013.

Department

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH) Dr. P.K. MOHANTY CHIEF SECRETARY TO GOVERNMENT To The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad. The Commissioner of Printing, Stationary & Stores (Printing Wing), A.P, Hyderabad (with a request to furnish 500 copies of the G.O. to Government . Copy to: The Commissioner of Family Welfare, AP., Hyderabad. The Director of Medical Education, AP., Hyderabad. The Director of Public Health & Family Welfare, AP., Hyderabad. The Commissioner, AP Vaidya Vidhana Parishad, Hyderabad. The Managing Director, AP Medical Services and Infrastructure development Corporation, Hyderabad. The Accountant General (A&E), AP., Hyderabad. Finance (Expr.M&H-1) Dept. S.F. / S.Cs. // FORWARDED :: BY ORDER //

SECTION OFFICER

ANNEXURE to G.O.Ms.No.176, H.M. & F.W. (M2) Dept., dt.01-11-2013 EHS THERAPY LIST

S. No

ICD Procedure/ Diagnostic Code

Procedure Name

PRICE

Treating Hospital

S1. GENERAL SUGERY 1

04.06.1

Excision of Ganglion - large

9983

Government Hospital

2

04.06.3

Excision of Ganglion - Small

10000

Government Hospital

3

04.92

Ganglion Sclerotherapy

2000

Government Hospital

4

05.23.2

Laproscopic-Lumbar Sympathectomy

25000

Network Hospital

5

06.2.1

Hemithyroidectomy

25000

Government Hospital

6

06.2.2

Laproscopic Hemi Thyroidectomy

28326

Network Hospital

7

06.31.1

Resection Enucleation - Thyroid

25000

Network Hospital

8

06.31.2

Subtotal Thyroidectomy

28000

Government Hospital

9

06.31.3

Laproscopic Sub total Thyroidectomy

27774

Network Hospital

10

06.31.4

Laproscopic Thyroid Nodule Excision

27765

Network Hospital

11

06.39.1

Isthmectomy

24302

Government Hospital

12

06.39.2

Partial Thyroidectomy

24217

Government Hospital

13

06.39.3

Laproscopic Isthmectomy

28665

Network Hospital

14

06.4.1

Total Thyroidectomy

30000

Government Hospital

15

06.4.2

Laproscopic Total Thyroidectomy

28805

Network Hospital

16

06.6

Excision of Lingual Thyroid

30000

Government Hospital

17

06.7

Excision of Thyroglossal Cyst Fistula

29999

Government Hospital

18

06.8.1

Parathyroidectomy -Non Malignant

30001

Government Hospital

19

07.22.1

Unilateral Adrenelectopmy in nonmalignant conditions

35002

Network Hospital

20

07.3.1

Bilateral Adrenalectomy in nonmalignant conditions

39999

Network Hospital

21

17.33.1

Laproscopic Right Hemi Colectomy in non malignant conditions

40001

Network Hospital

22

17.35 /

Laproscopic Left Hemicolectomy

31760

Network Hospital

17.35.3 23

25.1.1

Excision of large growth from Tongue

19693

Network Hospital

24

25.1.2

Excision of Small growth from Tongue

16466

Network Hospital

25

25.2.1

Partial Glossectomy

26646

Government Hospital

26

26.30.2

Excision of Salivary Gland

21263

Network Hospital

27

26.30.3

Removal Of Submandibular Salivary Gland

25084

Government Hospital

28

26.31

Superficial Parotoidectomy (Non-malignant)

21263

Network Hospital

29

26.4

Parotid Duct Repair

26152

Government Hospital

30

27.42.1

Wedge Excision of Lip

14727

Government Hospital

31

27.42.2

Wedge Excision of Lip&Vermilionectomy(27.43)

17731

Government Hospital

32

27.43.2

Vermilionectomy

21174

Government Hospital

33

27.54.2

ABBE Operation

20001

Government Hospital

34

29.2

Excision of Branchial Cyst

24001

Government Hospital

Excision of Branchial Sinus

24000

Government Hospital

Excision and Ligation of Varicose Veins

24123

Network Hospital

39.1.1

Splenorenal Anastomosis

70000

Network Hospital

38

39.1.2

Warren Shunt for Portal Hypertension

70000

Network Hospital

39

39.1.3

Portocaval Anastomosis

80000

Network Hospital

40

39.8.1

Excision of Carotid Body Tumours

33930

Network Hospital

41

39.92

Hemangioma Scleotherapy

9151

Government Hospital

42

40.11

Lymph Node Biopsy

8770

Government Hospital

43

40.23

Axillary Lymph Node Dissection

27813

Network Hospital

44

40.29.1

Excision of Cystic Hygroma -Extensive

23239

Government Hospital

45

40.29.2

Excision of Cystic Hygroma -Major

24000

Government Hospital

46

40.29.3

Cystic Hygroma Excision - Minor

10000

Government Hospital

47

41.5.2

Splenectomy For Hypersplenism

40001

Government Hospital

35

29.52.1

36

38.5

37

48

41.5.3

Laproscopic Splenectomy - For other Indications

55000

Network Hospital

49

43.1.1

Gastrostomy

20001

Government Hospital

50

43.3.1

Pyloromyotomy

30000

Government Hospital

51

43.5.1

Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer

40001

Network Hospital

52

44.02

Highly Selective Vagotomy

25000

Government Hospital

53

44.03

Selective Vagotomy drainage

48000

Government Hospital

54

44.2

Pyloroplasty & Vagotomy

48000

Government Hospital

55

44.39.2

Gastrojejunostomy & Vagotomy

40000

Government Hospital

56

44.4.1

Surgical management For Haemorrhage Of The Small Intestine

48001

Network Hospital

57

44.40

Operation for bleeding peptic ulcer

48001

Network Hospital

58

44.42

Surgical management of Duodenal perforation

48001

Network Hospital

59

44.42.1

Laproscopic Surgical treatment for Duodenal Perforation

48000

Network Hospital

60

44.62

Gastrostomy Closure

22000

Network Hospital

61

45.3.2

Resection & Anastomosis Of Small Intestine(45.9)

48000

Network Hospital

Surgical treatment for Duodenal Diverticulum

30004

Government Hospital

45.33.1

Excision of Meckel's Diverticulum

39999

Government Hospital

64

45.34.1

Surgical treatment for Acute Intestinal obstrucion

48001

Network Hospital

65

45.62

Duodenectomy

38653

Government Hospital

66

45.63

Surgical treatment for Duplication Of Intestines

48001

Network Hospital

67

45.73

Right Hemi Colectomy

40001

Network Hospital

68

45.75

Left Hemi Colectomy

40000

Network Hospital

69

45.81

Lap roscopic colectomy (Total Colectomy)

60001

Network Hospital

70

45.82

Total Colectomy

60001

Network Hospital

71

46.03

Loop Colostomy Sigmoid

20000

Government Hospital

72

46.23

Illieo Sigmoidostomy

48000

Network Hospital

73

46.62

Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other)

48001

Network Hospital

74

46.64

Cecopexy

29999

Government Hospital

75

46.73

Surgical treatment for Acute Intestinal perforation

48000

Network Hospital

62

45.31

63

76

46.74

Excision Small Intestinal Fistula

50000

Government Hospital

77

46.81

Surgical treatment for Mal-Rotation & Volvulus Of The Midgut

48000

Network Hospital

78

46.82

Surgical treatment for Volvulus of Large bowel

48001

Network Hospital

79

47.01

Laproscopic Appendicectomy

20914

Government Hospital

80

47.19

Laproscopic Surgical treatment for Appendicular Mass-Abscess

30000

Network Hospital

81

48.3

Excision of Prolapse of Rectal Mass

25677

Network Hospital

82

48.35

Excision of Papilloma Rectum

19660

Network Hospital

83

48.49

Pull Through Abdominal Resection

50001

Network Hospital

84

48.73

Fistulectomy

15000

Government Hospital

85

48.9

Anorectoplasty

26049

Network Hospital

86

49.01

Drainage of Ischio Rectal Abscess

15000

Government Hospital

87

49.45

Lord's Procedure for Haemorrhoids

10000

Government Hospital

88

51.02

Cholecystostomy

29665

Government Hospital

89

51.7

Repair Of CBD

48001

Government

Hospital 90

53.01

Herinoplasty without Mesh for Direct Inguinal Hernia

20000

Network Hospital

91

53.03

Herinoplasty with Mesh Direct Inguinal Hernia

25000

Network Hospital

92

53.04

Laproscopic Surgical treatment for Unilateral Femoral Hernia With Mesh

30000

Network Hospital

93

53.41

Umbilical Hernia repair with Mesh

30000

Government Hospital

94

53.62

Laproscopic Surgical treatment for Incisional Hernia with Mesh

40001

Network Hospital

95

53.63

Laproscopic Surgical treatment for Epigastric Hernia repair with Mesh

50000

Network Hospital

96

53.72

Hiatus Hernia Repair - Abdominal

48003

Network Hospital

97

61.92

Evacuation of Scrotal Hematoma

18554

Government Hospital

98

61.99

Excision of multiple Scrotal Cysts

8250

Government Hospital

99

63.2

Excision of Epididymal Cyst

15000

Government Hospital

100

63.4

Epididectomy

15000

Government Hospital

101

64.91

Dorsal Slit and Reduction of Paraphimosis

8841

Network Hospital

102

77.5

Surgical treatment for Infected Bunion Foot

4499

Network Hospital

103

77.91

Excision of Cervical Rib

26879

Network Hospital

104

85.44

Surgical repair of bilateral Gynaecomastia

11801

Network Hospital

105

85.91

I & D of Breast Abscess

8937

Network Hospital

106

86.05

Foreign Body Removal in Deep Region

28618

Network Hospital

107

86.23

Surgical treatment for Ingrowing Nail

6653

Network Hospital

108

86.6

Skin Grafting

16323

Network Hospital

109

46.1.1

Colostomy

20000

Network Hospital

110

46.2.2

Ileostomy

20001

Network Hospital

111

46.51.2

Ileostomy Closure

25000

Network Hospital

112

46.52.2

Colostomy Closure

25000

Network Hospital

113

46.80.1

Surgical treatment for Intususception

48001

Network Hospital

114

47.09.1

Open Appendicectomy

17479

Network Hospital

115

47.09.2

Surgical treatment for Appendicular Perforation

25867

Network Hospital

116

48.62.1

Anterior Resection of Rectum

50000

Network Hospital

117

48.75.1

Rectopexy Open with Mesh for Rectal Prolapse

40000

Government Hospital

118

48.75.2

Laproscopic Rectopexy With Mesh for Rectal Prolapse

50000

Network Hospital

119

48.75.3

Rectopexy Open without Mesh for Rectal Prolapse

30000

Government Hospital

120

48.75.5

Laproscopic Rectopexy With Repair

40001

Network Hospital

121

49.3

Fissurectomy

15001

Government Hospital

122

49.46.1

Haemorroidectomy

21169

Network Hospital

123

49.46.2

Haemorroidectomy+ Fistulectomy(49.12)

25238

Network Hospital

124

50.29.1

Excision of liver Abscess

30000

Network Hospital

125

50.29.2

Surgical treatment For Hydatid cyst of Liver

40000

Network Hospital

126

51.22.1

Cholecystectomy With CBD Exploration (51.41)

40000

Government Hospital

127

51.22.2

Laproscopic Cholecystectomy With CBD Exploration (51.41)

30000

Network Hospital

128

51.22.3

Cholecystectomy

24999

Government Hospital

129

51.22.4

Laproscopic Cholecystectomy

30000

Government Hospital

130

51.22.5

Laproscopic Cholecystectomy With Gargrene

30000

Network Hospital

131

51.22.6

Laproscopic Cholecystectomy For Calculus

30000

Network Hospital

132

51.22.7

Laproscopic Cholecystectomy With CBD Repair

40000

Network Hospital

133

52.4.2

Pancreaticocystojejunostomy

50000

Network Hospital

134

52.4.4

Pancreaticocystogastrostomy

41925

Network Hospital

135

53.29.1

Laproscopic Surgical treatment for Unilateral Femoral Hernia Without Mesh

40000

Network Hospital

136

53.29.2

Unilateral Femoral Hernia repair

25001

Government Hospital

137

53.42.1

Laproscopic Surgical treatment for - Umbilical Hernia With Mesh

50000

Network Hospital

138

53.49.1

Umbilical Hernia repair without Mesh

25000

Government Hospital

139

53.51.1

Laproscopic Surgical treatment for Incisional Hernia without Mesh

30000

Network Hospital

140

53.59.1

Epigastric Hernia repair without Mesh

25000

Government Hospital

141

53.59.2

Ventral And Scar Hernia repair without Mesh

30000

Government Hospital

142

53.69.1

Epigastric Hernia repair with Mesh

40000

Government Hospital

143

53.69.2

Ventral And Scar Hernia repair with Mesh

40001

Government Hospital

144

53.71.1

Laproscopic Surgical treatment for Hiatus Hernia With Mesh

50000

Network Hospital

145

53.9.1

Rare Hernias repair (Spigalion,Obuturator,Sciatic)

20000

Network Hospital

146

54.0.1

Drainage of Perigastric Abscess

35131

Network Hospital

147

54.0.2

Drainage of Subdiaphragmatic Abscess

29264

Government Hospital

148

54.0.3

Open Drainage of Pelvic Abscess

27364

Network Hospital

149

54.0.4

Laproscopic Surgical treatment for Intra Abdominal Abscess

35000

Network Hospital

150

54.3.4

Excision of Umbillical Sinus-

16703

Government Hospital

151

54.4.1

Excision of Mesenteric Cyst

31262

Network Hospital

152

54.7.2

Surgical treatment for Minor Abdominal Injuries

20291

Network Hospital

153

54.7.3

Surgical treatment for Major Abdominal Injuries

50000

Network Hospital

154

54.7.4

Surgical treatment for Burst Abdomen

50000

Network Hospital

155

54.99.1

Treatment with Self Expanding Metalic Stent (SEMS)

20417

Network Hospital

156

61.2.1

Surgical treatment for Unilateral Hydrocoele

16915

Government Hospital

157

61.2.2

Surgical treatment for Bilateral Hydrocoele

18647

Government Hospital

158

61.3.2

Surgical treatment for Fourniers Gangrene

29997

Network Hospital

159

61.3.3

Surgical treatment for Filarial Scrotum

25001

Government Hospital

160

61.3.4

Excision of multiple Scrotal swellings

8829

Government Hospital

161

62.3.1

Orchidectomy -Unilateral

22000

Government Hospital

162

62.3.4

Orchidectomy + Herniorraphy(53.00)

30001

Government Hospital

163

62.5.1

Orchidopexy with Eversion of Sac

25000

Network Hospital

164

63.1.4

Laproscopic Excision of Varicocele Cyst

40000

Network Hospital

165

64.0

Circumcision

8202

Network Hospital

166

70.73.2

Rectovaginal fistula Management without Colostomy

38799

Network Hospital

167

76.31.1

Hemimandibulectomy

42781

Network Hospital

168

76.31.4

Segmental Mandible Excision

34736

Network Hospital

169

83.95.1

Drainage of Psoas Abscess

17366

Government Hospital

170

85.21.1

Excision of Mammary Fistula

14044

Network Hospital

171

85.21.2

Wide Excision of Mammary Fistula

12821

Network Hospital

172

85.21.3

Excision of Bilateral Fibroadenoma

15000

Government Hospital

173

85.21.4

Excision of Unilateral Fibroadenoma

10000

Government Hospital

174

85.21.5

Unilateral Lumpectomy

10000

Government Hospital

175

85.21.6

Bilateral Lumpectomy

15001

Government Hospital

176

85.21.7

Breast Conservation Surgery

15000

Network Hospital

177

85.22.2

Segmental Resection of Breast

14865

Network Hospital

178

85.41.1

Simple Mastectomy (Non Malignant)

30000

Government Hospital

179

86.01.1

Drainage of large Abscess

18320

Government Hospital

180

86.01.2

Paronychia Drainage

6821

Network Hospital

181

86.21.1

Excision of Pilonidal Sinus

17152

Government Hospital

182

86.3.12

Excision of Large Corn

5416

Government Hospital

183

86.3.16

Excision of Large Swelling in Hand

15417

Network Hospital

184

86.3.17

Excision of Small Swelling in Hand

10775

Government Hospital

185

86.3.18

Excision of Fibro Lipoma

8954

Government Hospital

186

86.3.19

Excision of Fibroma

9181

Government Hospital

187

86.3.20

Excision of Sinus

16851

Network Hospital

188

86.3.21

Excision of Large Dermoid Cyst

10377

Government Hospital

189

86.3.22

Excision of Small Dermoid Cyst

6934

Government Hospital

190

86.3.3

Excision of swelling Neck

11135

Network Hospital

191

86.3.5

Excision of Granuloma

9907

Network Hospital

192

86.3.6

Surgical treatment for Carbuncle back

26292

Government Hospital

193

86.3.7

Excision of Sebaceous Cyst

8967

Government Hospital

194

86.3.8

Excision of Keloid

25305

Network Hospital

195

86.3.9

Excision of Pyogenic Granuloma

7705

Network Hospital

196

86.4.4

Wide Local Excision (Non - malignant)

34452

Network Hospital

197

86.89.1

Surgical treatment for Cut Throat Injury

33285

Network Hospital

Facial Nerve Decompression

20001

Government Hospital

Endoscopic Surgery for Dacrocystitis

9906

Network Hospital

Surgical treatment for Preauricular sinus

18545

Government Hospital

S2 ENT SURGERY 198

04.42.2

199

09.53

200

18.21.1

201

18.29

Cryosurgery

10967

Network Hospital

202

18.39

Partial amputation of Pinna (malignancy perichondritis)

17424

Network Hospital

203

19.11

Stapedectomy - Veingraft

17999

Network Hospital

204

19.4.1

Myringoplasty

15089

Network Hospital

205

19.4.2

Myringoplasty with ossiculoplasty (19.3)

17000

Network Hospital

206

19.5

Tympanoplasty

16502

Government Hospital

207

20.01.1

Myringotomy with grommet for one ear

10000

Network Hospital

208

20.01.2

Myrinogotomy with-grommet for both ears

15000

Network Hospital

209

20.4

Mastoidectomy

16502

Government Hospital

210

20.51

Aural polypectomy

16501

Government Hospital

211

20.79.1

Labyrinthectomy

20000

Network Hospital

212

21.1

lateral Rhinotomy

15000

Network Hospital

213

21.3

Excision of Benign tumours of Nose

15001

Government Hospital

214

21.32

Surgery for Angiofibroma

40001

Government Hospital

215

21.84

Septo rhinoplasty

18500

Network Hospital

216

21.88

Youngs operation

14000

Network Hospital

217

21.99

Surgical treatment for Choanal atresia

15000

Network Hospital

218

22.39

Caldwell-luc(unilateral)

17000

Network Hospital

219

22.5

Endoscopic Sinus Surgery

16501

Government Hospital

220

22.71

Surgical treatment for Oro antral fistula

15001

Government Hospital

221

25.93

Surgical treatment for release of tongue tie

10000

Network Hospital

222

26.2

Excision of Benign Parotid gland tumor

20000

Network Hospital

223

27

Drainage Parapharyngeal abscess

10000

Network Hospital

224

27.49.1

Surgical treatment for Pararetro pharyngeal abscess

10000

Network Hospital

225

27.7

Uvulo ¿ Palato - Pharyngoplasty

24999

Government Hospital

226

28.3

Adeno tonsillectomy

12000

Government Hospital

227

28.6.1

Adenoidectomy Gromet insertion

10000

Government Hospital

228

29.39.1

Exision of Tumors In Pharynx

20003

Government Hospital

229

29.39.2

Exision of Parapharyngeal Tumour

20004

Government Hospital

230

30.22

Phono Surgery For Vocal Cord Paralysis

25001

Government Hospital

231

30.3

Laryngectomy in nonmalignant conditions

40000

Network Hospital

232

31.62

Laryngo Fissurectomy

24928

Network Hospital

233

31.98.1

Microlaryngeal Surgery

18238

Network Hospital

234

31.98.2

Surgical treatment for Laryngotracheal stenosis

20000

Network Hospital

235

76.45

Temporal Bone Excision

50002

Government Hospital

236

76.5.1

Bilateral Styloidectomy

15000

Network Hospital

237

76.79

Exision of Maxilla

36497

Network Hospital

238

96.52

Removal of Impacted Ear wax

9100

Government Hospital

239

96.53.1

Rhinorrhoea- repair

25000

Government Hospital

240

96.53.2

CSF rhinorrhoea - Endoscopic repair

25000

Network Hospital

241

98.02

Bronchoscopy Foreign Body Removal from Oesophagus

10002

Network Hospital

242

98.11

Removal of foreign body in Ear

10000

Government Hospital

243

98.15.2

Bronchoscopy Foreign Body Removal from Bronchous

24001

Network Hospital

78000

Government Hospital

S3. OPHTHAMOLOGY 244

04.42.1

Decompression/Excision Of Optic Nerve Lesions

245

08.0

Surgical treatment for Ankyloblepharon

14065

Network Hospital

246

08.01

Drainage of Lid Abscess

8858

Network Hospital

247

08.2.1

Surgical treatment for disorders of Eyelid

9526

Network Hospital

248

08.2.2

Exision of Small tumour of lid

9836

Government Hospital

249

08.4.1

Ectropion correction

15000

Government Hospital

250

08.4.2

Entropion correction

15001

Government Hospital

251

08.3

Surgical correction of Ptosis

30001

Network Hospital

252

08.38

Lagophthalmos correction

13214

Network Hospital

253

08.59

Epicanthus repair

6808

Government Hospital

254

08.7

Lid Reconstruction surgery

10052

Network Hospital

255

09.21

Dacrocystectomy

7839

Network Hospital

256

09.4

Surgery for Congenital dacrocystitis

9907

Network Hospital

257

09.43

Congenital NLD probing

10109

Network Hospital

258

09.81

External Dacryocysto rhinostomy

14047

Network Hospital

259

09.82

Canaliculo/conjuctivo Dacryocysto rhinostomy

12827

Network Hospital

260

10.41

Surgical treatment for Symblepharon

4453

Network Hospital

261

10.6

Fornix forming sutures

10688

Government Hospital

262

11.31

Pterygium repair

7295

Government Hospital

263

11.32

Pterigium + conjunctival autograft

11779

Network Hospital

264

11.59.1

Double Z-Plasty

4000

Government Hospital

265

11.6

Corneal Patch Graft

17414

Network Hospital

266

11.61

Lamellar Keratoplasty

22486

Network Hospital

267

11.63

Penetrating Keratoplasty

17748

Network Hospital

268

11.64

Therapeutic Penetrating Keratoplasty

19500

Network Hospital

269

11.69

Amniotic Membrane Graft for Cornea

11000

Network Hospital

270

12.0

Intraocular foreign body removal

32525

Network Hospital

271

12.1

Iridectomy-Iridotomy

7000

Network Hospital

272

12.13

Surgical treatment for Iris prolapse

7001

Network Hospital

273

12.4

Surgical treatment for Other disorders of iris and ciliary body

7000

Government Hospital

274

12.41

Exision of tumours of iris

21040

Network Hospital

275

12.54.1

Glaucoma Surgery

8181

Network Hospital

276

12.72

Cyclocryotherapy

12079

Government Hospital

277

12.79

Glaucoma Filtering Surgery For Paediatric Glaucoma

9288

Network Hospital

278

12.81.1

Surgical treatment for Scleral wound

10439

Network Hospital

279

12.81.2

Surgical treatment for Perforating scleral injury

21256

Network Hospital

280

12.87.1

Scleral Patch Graft

19134

Network Hospital

281

12.87.2

Amniotic Membrane Graft for Sclera

16132

Network Hospital

282

12.89

Removal of blood clot

7197

Network Hospital

283

12.99

Anterior chamber reconstruction

7688

Network Hospital

284

13.41

Cataract surgery phacoemulsification

20001

Network Hospital

285

13.42

Lensectomy

11916

Network Hospital

286

13.64.1

Posterior capsulotomy/polishing

10789

Network Hospital

287

13.64.2

Yag laser capsulotomy

7288

Network Hospital

288

13.7

Bandage contact lens with glue application

6184

Network Hospital

289

13.71.1

Cataract surgery phacoemulsification +IOL

22146

Network Hospital

290

13.71.2

Cataract surgery SICS + IOL(ECCE+IOL)

15000

Network Hospital

291

13.71.3

Paediatric Cataract Surgery (Phacoemulsification IOL)

17344

Network Hospital

292

13.72

Secondary IOL-scleral fixation-sulcus fixation of lens ACIOL

22000

Network Hospital

293

14.25.1

Photocoagulation for Retinopathy

2000

Network Hospital

294

14.25.2

Photocoagulation For Retinopathy Of Prematurity

9727

Government Hospital

295

14.4

Scleral buckle procedure for Retinal detachment

28094

Network Hospital

296

14.52.1

Cryoretinopexy - closed

12246

Network Hospital

297

14.52.2

Cryoretinopexy - open

11581

Network Hospital

298

14.72

Vitrectomy - Membrane Peeling- Endolaser

20182

Network Hospital

299

14.74.1

Vitrectomy

23020

Network Hospital

300

14.74.2

Vitrectomy Plus Silicon Oil Or Gas (14.75)

23325

Network Hospital

301

14.74.3

Vitrectomy -Membrane peeling - Endolaser _Silicon oil or Gas - with or without belt bulking

30000

Network Hospital

302

14.75

Monthly Intravitreal Anti-Vegf For Macular Degeneration - Per Injection (Maximum - 6)

14291

Network Hospital

303

14.79

Removal Of Silicon Oil Or Gas post Vitrectomy

9726

Network Hospital

304

15.2.1

Rectus Muscle Surgery(Single)

7922

Network Hospital

305

15.2.2

Oblique muscle surgery

7719

Network Hospital

306

15.4

Rectus Muscle Surgery(Twohree)

10689

Network Hospital

307

16

Orbitotomy

27099

Network Hospital

308

16.3

Evisceration /Enucleation with Orbital implant

15507

Network Hospital

309

16.5

Exenteration of Orbit

11974

Network Hospital

310

16.63

Dermis Fat Graft

22892

Network Hospital

311

16.64

Socket Reconstruction

25516

Network Hospital

312

16.81

Endoscopic orbital decompression

9049

Network Hospital

313

16.92

Excision of Benign neoplasm of Eye and Adnexa

9713

Government Hospital

314

16.99

Surgical Management of Proptosis

60000

Government Hospital

315

86.3.11

Dermoid cyst excision

14215

Government Hospital

S4. GYNAECOLOGY & OBSTETRICS 316

38.86

PPH-Conservative Surgical management

31001

Network Hospital

317

54.03

Surgical management of pelvic abscess

26147

Network Hospital

318

54.51

Laparoscopic Adhesiolysis

30000

Network Hospital

319

59.4.3

Purandares Sling operations - Open

25453

Network Hospital

320

59.4.4

Laparoscopic Sling Operations

32500

Network Hospital

321

65.21

Surgical Management of Ovarian Tumours

31764

Network Hospital

322

65.22

Ovarian cystectomy

31764

Network Hospital

323

65.23

Laparoscopic Cystectomy

24914

Network Hospital

324

65.49

Surgical Management of Tubal Ovarian mass

29404

Network Hospital

325

66.62

Laparoscopic Ectopic Resection

22135

Network Hospital

326

66.73

Laparoscopic Recanalisation

32732

Network Hospital

327

67.33

Cryo Surgery

3090

Government Hospital

328

67.5

Encirclage

10383

Government Hospital

329

67.61

Surgical Management of Cervical Tears

11000

Network Hospital

330

68.21

Hysteroscopic septal resection

17489

Network Hospital

331

68.23

Ablation of Endometrium

10977

Network Hospital

332

68.29.1

Laparoscopic Myomectomy

30001

Network Hospital

333

68.29.2

Hysteroscopic submucus fibroid resection

15000

Network Hospital

334

68.29.3

Myomectomy

25820

Network Hospital

335

68.29.4

Polypectomy

12174

Government Hospital

336

68.4

Hysterectomy - abdominal

23918

Network Hospital

337

68.51

Laproscopic Vaginal Hysterectomy

30001

Government Hospital

338

68.5.1

Vaginal Hysterectomy

25001

Government Hospital

339

68.5.2

Vaginal Hysterectomy With Pelvic Floor Repair(70.79)

30000

Government Hospital

340

69.0

D&C (Dilatation & Curettage)

5999

Government Hospital

341

69.02.1

Incomplete Abortion + inevitable abortion Management

8850

Network Hospital

342

69.02.2

Surgical Management of Missed abortion

9618

Network Hospital

343

69.02.3

Surgical Management of Septic Abortion

10201

Network Hospital

344

69.09

Surgical Management of Vesicular moles (Benign GTD) D & C

14000

Network Hospital

345

69.1

Surgical Management of Endometriosis - Excision of Chocolate Cyst

23000

Network Hospital

346

69.22

Manchesters Operation + Cervical amputation(67.4)

25000

Network Hospital

347

69.92

Intra Uterine Insemination

10003

Network Hospital

348

70.31

Haemato Colpo Surgical management or Hymenectomy

15001

Government Hospital

349

70.5

Repair of Cystocele ,Rectocele &Perineorraphy(71.71)

20001

Network Hospital

350

70.51

Surgical Management of Cystocoele - Repair

14216

Government Hospital

351

70.61

Mc Indoe's operation For Vaginal Atresia

39001

Network Hospital

352

70.71

Surgical Management of Vaginal Tear

12999

Network Hospital

353

70.77.1

Abdominal Repair for Vault Prolapse

35001

Network Hospital

354

70.77.2

Laproscopic Sacrospinocolpopexy for vault prolapse

45001

Network Hospital

355

70.78

Abdominal Repair With Mesh for Vault Prolapse

40001

Network Hospital

356

71.23

Surgery for Bartholin cyst(Marsupilasation,cyst removal)

9999

Network Hospital

357

71.6

Vulvectomy for tumors

21198

Network Hospital

358

71.8

Surgical Treatment for Vulval Heamatoma

13502

Network Hospital

359

72

Instrumental Vaginal Delivery

14635

Network Hospital

360

73.59.1

Normal Vaginal Delivery

14549

Government Hospital

361

73.59.2

Normal Vaginal Delivery with Epidural Anesthesia

20000

Network Hospital

362

73.59.3

Normal Vaginal Delivery In Rh-Negative Mother With Rh-Positive Baby

18000

Network Hospital

363

73.59.4

Normal Vaginal Delivery in Twins(Multiple pregnency)

15808

Network Hospital

364

73.59.5

Normal Vaginal Delivery HIV +ve Mother

20001

Network Hospital

365

74.1.1

Caesarean Section

14707

Government Hospital

366

74.1.2

Caesarean Section In Rh-Negative Mother With Rh-Positive Baby

16196

Network Hospital

367

74.1.3

Caesarean Section in Twins(Multiple pregnency)

15902

Network Hospital

368

74.1.4

Cesarean Section in HIV+ve Mother

20000

Network Hospital

369

74.3

Surgical Management of Ectopic pregnancy

21219

Network Hospital

370

74.91

Caesarean Hysterectomy with Bladder Repair

46783

Network Hospital

371

74.99.1

Surgery for Rupture Uterus with Tubectomy

32500

Network Hospital

372

74.99.2

Surgical Management of Abruptio-Placenta with Coagulation Defects(Dic)

26825

Network Hospital

373

74.99.3

Obstetric Hysterectomy (Atonic PPH,Traumatic PPH , Rupture-Rupture Uterus,Abnormal Placentation)

30201

Network Hospital

374

75.0.1

First Trimester Medically Induced Abortion

4050

Network Hospital

375

75.0.2

Termination of pregnancies for foetal anamolies + IUD

8299

Network Hospital

376

75.4

Retained Placenta with Manual Removal

29410

Network Hospital

377

75.69

Complete perineal tear repair

18200

Network Hospital

378

93.9.1

Management of Eclampsia with Complications Requiring Ventilatory Support

40001

Network Hospital

379

96.49

LNG-IUS (Levonorgestrene Intautrine system)

14000

Network Hospital

380

97.71.1

Intra abdominal IUCD retrival - Open

20000

Network Hospital

381

97.71.2

Intra abdominal IUCD retrival - Lap

25000

Network Hospital

382

98.16

Hysteroscopic FB removal

10560

Network Hospital

383

99.0.1

Medical Management of PPH

10465

Network Hospital

384

99.0.2

Medical Management of Haemorragic shock in pregnancy

37001

Network Hospital

385

D25

Medical Management of Fibroids

7680

Network Hospital

386

E28.2

Medical Management of Polycystic Ovarian Syndrome

11330

Network Hospital

387

N73.9

Medical Management of Pelvic Inflammatory Disease

7694

Network Hospital

388

N80

Medical Management of Endometriosis

7090

Network Hospital

389

N93.8

Medical Management of DUB

10017

Network Hospital

390

O10.1

Heart disease complicating pregnancy Management

20000

Government Hospital

391

O14.1

Pre- eclampsia / PIH Management

40272

Government Hospital

392

O14.2

HELLP Syndrome Management in pregnancy

20001

Government Hospital

393

O15.0

Eclampsia Management without ventilator support

30001

Government Hospital

394

O21

Hyperemisis Gravidarum Management

8263

Government Hospital

395

O24

Diabetes complicating pregnancy Management

20000

Government Hospital

396

O26.6

Hepatic Disorder Management in pregnancy

20001

Government Hospital

397

O28.0.A

Moderate Anaemia Management in pregnancy

10178

Government Hospital

Severe Anemia Management in pregnancy

25256

Government Hospital

Intra Uterine Growth Retardation Management

20000

Government Hospital

O40

Acute Poly Hydramnios Management

20000

Government Hospital

O44

Placenta Previa-type III to IV Management

20000

Government Hospital

398

O28.0.B

399

O36.8

400

401

S5. ORTHOPEDIC SURGERY AND PROCEDURES 402

04.0

Surgery for Brachial Plexus & Cervical Rib

44764

Government Hospital

403

04.04

Obturatorneurectomy

20001

Network Hospital

404

04.3.1

Neurolysis / Nerve Suture

25002

Network Hospital

405

04.5.1

Nerve Repair With Grafting

41628

Network Hospital

406

77.00.1

Sequestrectomy&Saucerizations

38000

Network Hospital

407

77.00.2

Sequestrectomy& bone grafting

39000

Network Hospital

408

77.63.1

Excision of Radial head

23001

Government Hospital

409

77.63.2

Excision of Lower end Ulna

23000

Government Hospital

Excision of Accessory bone

20000

Government Hospital

77.20.1

Long bone osteotomy with POP application & k-wires

30001

Government Hospital

412

77.20.2

Long bone osteotomy with internal fixation

30001

Network Hospital

413

77.31

Costo Transversectomy(77.39)

40125

Government Hospital

414

77.35

Corrective osteotomy Acetabulum

40001

Network Hospital

415

77.37

High tibial osteotomy

31000

Network Hospital

416

77.39

Anterolateral Clearance For Tuberculosis

60000

Network Hospital

417

77.60.4

Excision of deep Bone Tumours and Re-Construction With Conventional Prosthesis

48812

Network Hospital

418

77.60.5

Bone tumor curettage and bone graft(78.00)

30001

Network Hospital

419

77.60.6

Bone tumor curettage

24426

Network Hospital

420

77.60.7

Bone curettage and bone cement(84.56)

30000

Network Hospital

421

77.60.8

Surgical Management of Exostosis of small joints

22000

Network Hospital

422

77.60.9

Surgical Management of Exostosis of long bones

28000

Network Hospital

423

77.60.10

Excision of Fracture fragment

85508

Network Hospital

424

77.61

Excision of Scaphoid

23000

Network Hospital

410

77.1

411

425

77.64

Excision Or Other Operations For Scaphoid Fractures

15000

Network Hospital

426

77.8

Bone tumor surgery reconstruction with internal fixation(78.59)

48023

Network Hospital

427

77.89

Spinal Ostectomy And Internal Fixations(78.59)

47616

Network Hospital

428

77.96

Excision of Patella

16322

Government Hospital

429

78.00.1

Bone Grafting As Exclusive Procedure

20000

Network Hospital

430

78.00.2

Phemister grafting

26000

Network Hospital

431

78.10.1

Neglected CTEV. Jess Fixator

36001

Network Hospital

432

78.10.2

Tension band wirings

25000

Government Hospital

433

78.15

Cancecllous screw/pins fixations for fracture neck of Femur

35001

Network Hospital

434

78.3

Limb lengthening

40940

Network Hospital

435

78.41.1

Clavicle surgery

25001

Network Hospital

436

78.42

Internal fixation lateral epicondyle for non union Humerus

26458

Network Hospital

437

78.43

Reconstruction around Radial head

32000

Network Hospital

438

78.60.1

Removal of implants plates and nail

15001

Government Hospital

439

78.60.2

Removal of implants wires and screws

15000

Government Hospital

440

78.95

Surgery for Avascular Necrosis Of Femoral Head (Core Decompression)

29286

Network Hospital

441

79.0.1

Reduction Of Compound Fractures & External Fixation(78.10)

25000

Network Hospital

442

79.0.2

Closed reduction with percutaneous k-wire fixation(78.10)

16000

Network Hospital

443

79.0.3

Closed reduction with percutaneous screw fixation(78.10)

17001

Network Hospital

444

79.3

Open reduction & Internal Fixation Of Fingers & Toes

15483

Network Hospital

445

79.71

Closed reduction of Shoulder dislocation

7800

Government Hospital

446

79.72

Closed reduction of Elbow dislocation

7800

Government Hospital

447

79.73

Closed reduction of Wrist dislocation

7800

Government Hospital

448

79.74

Closed reduction of fingers small joint dislocation

7800

Government Hospital

449

79.75

Closed reduction of Hip dislocation

7800

Government Hospital

450

79.76

Closed reduction of Knee dislocation

7801

Government Hospital

451

79.77

Closed reduction of Ankle dislocation

7799

Government Hospital

452

79.8

Open reduction of Deep dislocations

30000

Network Hospital

453

79.81.1

Acromioclavicular joint dislocation open reconstruction

25768

Network Hospital

454

80.1

Arthrotomy and joint lavage

35000

Network Hospital

455

80.2

Diagnostic Arthroscopy

24000

Network Hospital

456

80.21

Subacromial decompression

30001

Network Hospital

457

80.42

Release of Stiff Elbow

30000

Network Hospital

458

80.6

Arthroscopy . Operative Meniscectomy

25000

Network Hospital

459

80.70.1

Synovectomy

35001

Network Hospital

460

80.70.2

Surgical management Dequerenstenosynovities

6500

Network Hospital

461

81.00.1

Mossmiami instrumentation for vertebral fractures

48867

Network Hospital

462

81.04

Scoliosis and kyphosis correction(81.05+33.4)

95000

Network Hospital

463

81.1.1

Arthrodesis of foot Small joints

15001

Network Hospital

464

81.1.2

Congenital ankle deformity correction

50000

Network Hospital

465

81.2.1

Arthrodesis of major joints

30000

Network Hospital

466

81.11

Ankle arthrodesis

35000

Network Hospital

467

81.12

Triple arthrodesis

35000

Network Hospital

468

81.18

Subtalar arthrodesis

35000

Network Hospital

469

81.21

Arthrodesis of Hip

35000

Network Hospital

470

81.22

Arthrodesis of Knee

35001

Network Hospital

471

81.23

Arthrodesis of Shoulder

35001

Network Hospital

472

81.24

Arthrodesis of Elbow

35001

Network Hospital

473

81.26

Arthrodesis of hand Small joint(81.27/81.28)

15000

Network Hospital

474

81.27

Arthrodesis of Wrist

35001

Network Hospital

475

81.4

Flexion construction of hip release

40001

Network Hospital

476

81.43

Release of Stiff knee

35001

Network Hospital

477

81.45.1

Anterior cruciate ligamentl reconstruction

25001

Network Hospital

478

81.45.2

Posterior cruciate ligament reconstruction

25000

Network Hospital

479

81.51.1

Total hip replacement cemented

78000

Network Hospital

480

81.51.2

Total hip replacement uncemented

100001

Network Hospital

481

81.52.1

Bipolar hemiarthroplastyof Hip without cement

38001

Network Hospital

482

81.52.2

Hemiarthroplasty of Hip uncemented

35001

Network Hospital

483

81.52.3

Bipolar hemiarthroplasty of Hip with cement

42000

Network Hospital

484

81.52.4

Hemiarthroplasty of Hip cemented

35000

Network Hospital

485

81.54

Total knee replacement

105001

Network Hospital

486

81.8.2

Shoulder replacement

40001

Network Hospital

487

81.7

Excision arthroplasty(81.8)

30000

Government Hospital

488

81.82

Reconstruction procedure for recurrent dislocation shoulder

30001

Network Hospital

489

81.83

Arthroplasty of Shoulder

40000

Network Hospital

490

81.84

Elbow replacement

40001

Network Hospital

491

81.96

Joint reconstruction/intraarticular fractures

35000

Network Hospital

492

82.11

Trigger Finger release

6500

Government Hospital

493

82.35

Dupuytrens contracture release

20000

Government Hospital

494

82.56.2

Tendon transfer procedure for claw hand

32000

Network Hospital

495

82.99.2

Maxpage release for Volkmann

30001

Network Hospital

496

83.3.2

Synovial cyst excision/ganglion/Bakers Cyst

19788

Network Hospital

497

83.12

Adductor release

15000

Network Hospital

498

83.13

Tenotomy

15000

Network Hospital

499

83.14.1

Fasciotomy

20001

Network Hospital

500

83.14.2

Fasciotomy with skin graft

25000

Network Hospital

501

83.5

Excision of Retrocalcaneal bursa

15001

Network Hospital

502

83.63

Rotator cuff repair

30001

Network Hospital

503

83.75

Tendon transfer procedure around ankle

32001

Network Hospital

504

83.81

Tendon transfer with graft

32000

Network Hospital

505

83.84.1

CTEV correction

50000

Network Hospital

506

83.85

Hamstrings release

15001

Network Hospital

507

83.86

Quadricepsplasty

35001

Network Hospital

508

83.87

Tricepsplasty

30000

Network Hospital

509

83.89

Fasciotomy with skin graft with fixator

40001

Network Hospital

510

83.95.2

Drainage of cold abscess

30000

Government Hospital

511

83.95.3

Drainage of acute osteomyelitis

28000

Network Hospital

512

84.01.1

Fingers amputations

10000

Government Hospital

513

84.04

Disarticulation at wrist level

23001

Network Hospital

514

84.05

Below Elbow amputations

23000

Network Hospital

515

84.06

Disarticulation at elbow level

25000

Network Hospital

516

84.07

Above Elbow amputations

25001

Network Hospital

517

84.08.1

Disarticulation at Shoulder level

40000

Network Hospital

518

84.09.2

Amputations - Forequarter

37068

Government Hospital

519

84.11.1

Disarticulations at small joints Foot

10000

Government

Hospital 520

84.13

Disarticulation at ankle level

25001

Government Hospital

521

84.15

Below Knee amputations

26858

Network Hospital

522

84.16

Disarticulations at knee level

27001

Network Hospital

523

84.17.1

Above Knee amputations

27001

Network Hospital

524

84.18

Disarticulation at Hip level

40001

Network Hospital

525

84.19.1

Amputations - Hind Quarter And Hemipelvectomy

50001

Government Hospital

526

84.4

Orif-long bones with locking plates

35001

Network Hospital

527

84.54

Limb reconstruction system(lrs)

38001

Network Hospital

528

84.72.1

Ilizarov Ring Fixator Application

44001

Network Hospital

529

84.72.2

Ilizarov fixator with joint arthrolysis

50000

Network Hospital

530

86.21.2

Excision of Sinus over Sacrum

16000

Network Hospital

531

86.89.3

Soft Tissue Reconstruction Procedures For Joints/Osteotomy

30001

Network Hospital

532

86.89.4

CDH soft tissue reconstruction

35000

Network Hospital

533

93.41

Cervical spine injury(skull traction) treatment

20000

Network Hospital

534

93.44

Application of skeletal traction

6000

Network Hospital

535

93.46

Application of skin traction

4500

Network Hospital

536

93.5

Hip spica

8000

Network Hospital

537

93.53.1

Application of functional cast brace

2500

Network Hospital

538

93.53.2

U-slab application

6500

Network Hospital

539

93.53.3

Synthetic cast application above Elbow

5000

Network Hospital

540

93.53.4

Synthetic cast application below Elbow

5553

Network Hospital

541

93.53.5

Synthetic cast application above Knee

6500

Network Hospital

542

93.53.6

Synthetic cast application below Knee

5000

Network Hospital

543

93.53.7

Synthetic cast cutting

500

Network Hospital

544

93.54.1

POP application above Elbow

4000

Government Hospital

545

93.54.2

POP application below Elbow

3000

Government Hospital

546

93.54.3

POP application above Knee

5000

Government Hospital

547

93.54.4

POP application below Knee

4000

Government Hospital

548

93.56

Bandages and strapping procedures for fractures

6500

Government Hospital

S6. SURGICAL GASTROENTEROLOGY

549

39.1.4

Surgery For Portal Hypertension Bleed

100000

Network Hospital

550

41.5.1

Splenectomy

34999

Government Hospital

551

41.5.6

Splenectomy + Devascularisation + Spleno Renal Shunt(39.1)

76562

Network Hospital

552

41.42

Spleenectomy For Space Occupying Lesion

41996

Government Hospital

553

42.11

Surgery For Oesophageal Perforation Stage 1 Cervical Exclusion And Chest Tube And Feeding Jejunostomy

125001

Network Hospital

554

42.32.1

Surgery For Oesophageal Perforation Stage 2 Definitive Surgery

100000

Network Hospital

555

42.32.2

Surgery For Oesophageal Perforation - Single Staged Foreign Body, Iatrogenic & Spontaneous

100000

Network Hospital

556

42.7.1

Laproscopic Hellers Myotomy

28115

Network Hospital

557

42.40.1

Oesophagectomy

89999

Network Hospital

558

42.55

Colonic Pull Up

59999

Network Hospital

559

42.7

Open Hellers Myotomy

80000

Network Hospital

560

43.5.2

Partial Gastrectomy with anastomosis to esophagus

40001

Government Hospital

561

43.6.1

Partial Gastrectomy with anastomosis to duodenum

40000

Network Hospital

562

43.6.2

Distal Gastrectomy For Gastric Outlet Obstruction

40000

Government Hospital

563

43.7.1

Partial/Subtotal Gastrectomy with anastomosis to jejunum For Ulcer

31984

Network Hospital

564

43.4

Surgery for Corrosive Injury Stomach

60000

Network Hospital

565

43.9

Total Gastrectomy

40000

Government Hospital

566

43.99.1

Oesophago-Gastrectomy

89999

Network Hospital

567

44.0

Truncal Vagotomy + Gastro Jejunostomy(44.3)

48000

Government Hospital

568

44.4.2

Surgery For Bleeding Ulcers

48000

Network Hospital

569

44.43

Surgery For Obscure Gi Bleed

72001

Network Hospital

570

44.63

Gastro Jejuno-Colic Fistula Surgical Management

59999

Network Hospital

571

44.67

Lap Fundoplications

53998

Network Hospital

572

45.73.3

Extended Right Hemicolectomy

48000

Network Hospital

573

45.8

I Stage-Sub Total Colectomy + Ileostomy(46.2)

60001

Network Hospital

574

45.83

I Stage- Sub Total Colectomy + Ileostomy + J - Pouch

96000

Network Hospital

575

45.95.1

II Stage-J - Pouch

50000

Network Hospital

576

46.51.4

II Stage- Ileostomy Closure

25001

Network Hospital

577

46.51.5

III Stage-Ileostomy Closure

24995

Network Hospital

578

46.80.2

Surgical management of Volvulus

48000

Network Hospital

579

46.80.3

Surgical management of Malrotation

48000

Network Hospital

580

48.5

Abdomino Perineal Resection of rectum

50685

Network Hospital

581

48.62.2

Hartman.S Procedure With Colostomy

53998

Network Hospital

582

48.63.1

Anterior Resection of Large Intestine

40000

Network Hospital

583

48.93

Anterior Resection With Ileostomy

59994

Network Hospital

584

49.7.1

Anal Sphincter Repair -With Colostomy

33853

Network Hospital

585

49.7.2

Anal Sphincter Repair -Without Colostomy

31326

Network Hospital

586

50.3.1

Rt.Hepatectomy

86580

Network Hospital

587

50.3.2

Lt.Hepatectomy

90000

Network Hospital

588

50.21

Hydatid Cyst-Marsupilisation

39999

Network Hospital

589

50.22

Haemangioma Sol Liver Hepatectomy + Wedge Resection

89999

Network Hospital

590

50.26

Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation

71998

Network Hospital

591

50.29.3

Segmentectomy

59999

Network Hospital

592

50.4

Hepatectomy For Cholangiocarcinoma

150000

Network Hospital

593

51.2

Radical Extended Cholecystectomy For Ca Gall Bladder

100000

Network Hospital

594

51.37

Hepatico Jejunostomy

66970

Network Hospital

595

51.39

Choledochoduodenostomy Or Choledocho Jejunostomy

40594

Government Hospital

596

51.41

GB+ Calculi CBD Stones Or Dilated CBD

50000

Network Hospital

597

51.6

Cyst Excision+Hepatic Jejunostomy(51.37)

54000

Government Hospital

598

51.98

Benign Biliary Stricture Repair

100000

Network Hospital

599

52.4.1

Triple Bypass -Pancreas

60000

Network Hospital

600

52.4.3

Lateral Pancreaticojejunostomy(Non- Malignant)

99999

Network Hospital

601

52.4.5

Other Bypasses -Pancreas

39248

Network Hospital

602

52.22.1

Laproscopic Pancreatic Necrosectomy

112775

Network Hospital

603

52.22.2

Open Pancreatic Necrosectomy

120057

Network Hospital

604

52.3

Enucleation Of Cyst

90000

Government Hospital

605

52.52.1

Distal Pancreatectomy

120000

Network Hospital

606

52.52.2

Distal Pancreatectomy + Splenectomy(41.5)

119999

Network Hospital

607

52.59

Central Pancreatectomy

120000

Network Hospital

608

52.7

Whipples Any Type

100000

Network Hospital

609

53.75

Diaphragmatic Hernia (Gortex Mesh Repair)

48001

Network Hospital

610

70.73.1

Rectovaginal fistula Management with Colostomy

39320

Network Hospital

S7. CARDIOTHORASIC SURGERY

611

00.61

Vertebral Angioplasty

75000

Network Hospital

612

00.66.1

Coronary Balloon Angioplasty with stent(00.45)

40000

Network Hospital

613

00.66.2

PTCA 1 Additional Stent (00.46)

9000

Network Hospital

614

00.66.3

PTCA 2 Additional Stent (00.47)

12000

Network Hospital

615

00.66.4

PTCA 3 Additional Stent (00.48)

25000

Network Hospital

616

32.2.1

Surgical management of lung cyst

40000

Network Hospital

617

32.4.2

Lobectomy

60001

Network Hospital

618

32.5.1

Pneumonectomy

60000

Network Hospital

619

32.9

Surgical management of Lung Abcess

60001

Network Hospital

620

33.32

Surgical management of Empyema Thoracis

52146

Network Hospital

621

33.98

Surgical management For Bronchial Injuries due to foreign Body

60000

Network Hospital

622

34.3.1

Surgical management of SolItary fibrous tumor- Mediastinum

60001

Network Hospital

623

34.3.5

Surgical Management Of Thymoma Mediastinum

66487

Network Hospital

624

34.51

Decortication of lung

60000

Network Hospital

625

34.73.1

Surgical management of Bronchopleural Fistula -Thorocoplasty

67534

Network Hospital

626

34.73.2

Transpleural Bronchopleural Fistula closure

65001

Network Hospital

627

34.73.3

Surgical management of Bronchopleural Fistula - Myoplasty

75149

Network Hospital

628

34.81

Surgical management of Diaphragmatic Eventeration

50000

Network Hospital

Surgical management of Diaphragmatic injuries, Thoraco Abdominal approach

55000

Network Hospital

Balloon Valvotomy

26000

Network Hospital

35.02

Closed Mitral Valvotomy

40000

Network Hospital

632

35.1

Valve repair without Prosthetic Ring

110000

Network Hospital

633

35.11

Ross procedure - Intracardiac repair of complex congenitalheart diseases without Special Conduits

109507

Network Hospital

634

35.12

Mitral valvotomy (Open)

110000

Network Hospital

635

35.13

Open Pulmonary Valvotomy

77000

Network Hospital

636

35.20.1

Valve repair with Prosthetic Ring

140000

Network Hospital

637

35.20.2

Double valve replacement (With Valve)

177999

Network Hospital

638

35.20.3

Double valve replacement With Bio Prosthetic Valve

198000

Network Hospital

639

35.21

Aortic Valve Replacement (With Valve)

120000

Network Hospital

640

35.22.1

Ross procedure - Intracardiac repair of complex congenital heart diseases with Special Conduits

150000

Network Hospital

641

35.22.2

Surgical management of Annulus Aortic Ectasia With Valved Conduits

167837

Network Hospital

642

35.22.3

Arotic Valve Replacement With Bioprosthetic Valve

165001

Network Hospital

643

35.23

Mitral Valve Replacement (With Valve)

145001

Network Hospital

644

35.24

Replacement of Mitral valve with Bioprosthetic valve low Profile

160000

Network Hospital

629

34.82

630

35

631

645

35.27

Tricuspid valve Replacement (With Valve)

144239

Network Hospital

646

35.28

Tricuspid valve Replacement with Bio Prosthetic

160000

Network Hospital

647

35.41

Balloon Atrial Septostomy

33377

Network Hospital

648

35.51

ASD Device Closure

80001

Network Hospital

649

35.53

VSD Device Closure

80000

Network Hospital

650

35.71

Intra Cardiac Repair Of ASD

80000

Network Hospital

651

35.72

Intracardiac Repair Of VSD

85000

Network Hospital

652

35.8

Total Correction Of Complex Congenital Heart Disease With Special Conduits (Xeno Graft)

190001

Network Hospital

653

35.81

Total Correction of Tetralogy of Fallot

104275

Network Hospital

654

35.82

surgical management (Correction) of TAPVC

119840

Network Hospital

655

35.83.1

Patent Ductus Arterious - Stenting

74999

Network Hospital

656

35.83.2

Patent Ductus Arterious - Device Closure

72320

Network Hospital

657

35.83.3

Patent Ductus Arterious - Single Coil Closure

25001

Network Hospital

658

35.83.4

Patent Ductus Arterious - Multiple Coils Closrue

35002

Network Hospital

659

35.83.5

Surgery for-PDA

40000

Network Hospital

660

35.84

TGA - Arterial Switch

150000

Network Hospital

661

35.91

TGA - Sennings Procedure

150001

Network Hospital

662

36.1.1

Coronary Bypass Surgery

115847

Network Hospital

663

36.1.2

Coronary Bypass Surgery-Post Angioplasty

118722

Network Hospital

664

36.1.3

CABG With IABP Pump(37.61)

157780

Network Hospital

665

36.1.4

CABG With Aneurysmal Repair(39.52)

154250

Network Hospital

666

36.11

Surgery For Anomalous left coronary artery from the pulmonary artery (ALCAPA)

115385

Network Hospital

667

37

Pericardiocentesis

15000

Network Hospital

668

37.12

Pericardiostomy

25000

Network Hospital

669

37.23.1

Medical Management Of Valvular Heart Diseases -Requiring Cardiac Catheterization

17661

Network Hospital

670

37.23.2

Medical Management Of Congenital Heart Diseases -Requiring Cardiac Catheterization

17662

Network Hospital

671

37.31

Pericardiectomy

49448

Network Hospital

672

37.33.1

Surgical Treatment For MVR And Atrial Fibrillation- Maze Method

170000

Network Hospital

673

37.33.2

Surgical Treatment For MVR And Atrial Fibrillation- Cryoablation Method

118882

Network Hospital

674

37.33.3

Surgical Treatment For MVR And Atrial Fibrillation- Hifu Method

169104

Network Hospital

675

37.34

Surgery For Intracardiac Tumors

100001

Network Hospital

676

37.49.1

Surgery for Cardiac injuries Without CPB

70000

Network Hospital

677

37.49.2

Surgery for Cardiac injuries With CPB

91957

Network Hospital

678

37.78

Temporary Pacemaker Implantation

13000

Network Hospital

679

37.8

Permanent Pacemaker Implantation

75000

Network Hospital

680

38

Peripheral Embolectomy Without Graft

30000

Network Hospital

681

38.1

Arterial Embolectomy

29999

Network Hospital

682

38.7.1

DVT - Ivc Filter implantation

100000

Network Hospital

683

38.12.1

TGA - Carotid Embolectomy

70000

Network Hospital

684

38.15

Pulmonary Thrombo Embolectomy

149001

Network Hospital

685

38.3

Surgical management of Vascular Tumors

40001

Network Hospital

686

38.34.1

Coarctation-Arota Repair Without Graft

70000

Network Hospital

687

38.34.2

Coaractation of Aorta Repair Without Stent+ Aortoplasty(35.11)

30384

Network Hospital

688

38.35

Intrathoracic Aneurysm -Aneurysm Not Requiring Bypass

100002

Network Hospital

689

38.40.1

Aneurysm Resection & Grafting

183793

Network Hospital

690

38.40.2

Medium Size Arterial Aneurysms - Repair With Synthetic Graft

95000

Network Hospital

691

38.40.3

Excision Of Vascular Tumors With Prosthetic Graft

75002

Network Hospital

692

38.44.1

Coaractation of Aorta Repair With Stent + Aortoplasty(35.11)

80001

Network Hospital

693

38.44.2

Coarctation-Arota Repair With Graft

100000

Network Hospital

694

38.44.3

Thoraco Abdominal Aneurysm Or Dissection Repair With Graft(38.45)

200001

Network Hospital

695

38.45

Intrathoracic Aneurysm -Requiring Bypass (With Graft)

185001

Network Hospital

696

38.60.1

Excision Of Arterio Venous Malformation - Large

90000

Network Hospital

697

38.60.2

Excision Of Arterio Venous Malformation - Small

44000

Network Hospital

698

39.0.1

Systemic Pulmonary Shunts With Graft TOF

63606

Network Hospital

699

39.0.2

Systemic Pulmonary Shunts Without Graft TOF

55403

Network Hospital

700

39.3.1

Surgery for Arterial Injuries, Venous Injuries Without Graft

25000

Network Hospital

701

39.3.2

Surgical Management of Major Vascular Injury -In Lower Limbs

30000

Network Hospital

702

39.3.3

Surgical Management of Minor Vascular Injury - Tibial Vessels In Leg

20000

Network Hospital

703

39.3.4

Surgical Management of Minor Vascular Injury -Vessels In Foot

20000

Network Hospital

704

39.3.5

Surgical Management of Neck Vascular Injury - Carotid Vessels

100000

Network Hospital

705

39.3.6

Surgical Management of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins

100000

Network Hospital

706

39.3.7

Surgical Management of Thoracic Vascular Injuries

150001

Network Hospital

707

39.3.8

Surgical Management Of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins Without Prosthetic Graft

74999

Network Hospital

708

39.8.2

Excicion Of Carotid Body Tumor With Vascular Repair

80000

Network Hospital

709

39.8.3

Excision Of Carotid Body Tumor With Prosthetics Graft Repair

100000

Network Hospital

710

39.22

Carotid Artery Bypass With Synthetic Graft

124000

Network Hospital

711

39.23

Aorto-Aorto Bypass With Graft

100000

Network Hospital

712

39.26

Aorto-Aorto Bypass Without Graft

85000

Network Hospital

713

39.25.1

Femoro- Ileal Bypass With Graft

65000

Network Hospital

714

39.25.2

Femoro- Ileal Bypass Without Graft

45001

Network Hospital

715

39.25.3

Aorto Billiac - Bifemoral Bypass With Synthetic Graft

125001

Network Hospital

716

39.27.1

A V Fistula surgery (creation) at Wrist

10000

Network Hospital

717

39.27.2

A. V Fistula surgery (creation) At Elbow

9999

Network Hospital

718

39.29.1

Femoro- Poplitial Bypass With Graft

65000

Network Hospital

719

39.29.2

Femoro- Poplitial Bypass Without Graft

45001

Network Hospital

720

39.29.3

Femoro-Femoral Bypass With Graft

65000

Network Hospital

721

39.29.4

Femoro-Femoral Bypass Without Graft

45000

Network Hospital

722

39.29.5

Axillo Bifemoral Bypass With Synthetic Graft

99999

Network Hospital

723

39.29.6

Femoro Distal Bypass With Vein Graft

60001

Network Hospital

724

39.29.7

Femoro Distal Bypass With Synthetic Graft

80000

Network Hospital

725

39.29.8

Axillo Brachial Bypass Using With Synthetic Graft

70000

Network Hospital

726

39.29.9

Brachio - Radial Bypass With Synthetic Graft

59000

Network Hospital

727

39.50.2

Renal Angioplasty

60000

Network Hospital

728

39.50.3

Peripheral Angioplasty

60001

Network Hospital

729

39.50.4

Perpheral Angioplasty - Additional Stent(00.46)

9000

Network Hospital

730

39.52.1

Small Arterial Aneurysms - Repair

20000

Network Hospital

731

39.52.2

Medium Size Arterial Aneurysms - Repair

25000

Network Hospital

732

39.52.3

surgical management of Ruptured Sinus Of Valsalva

130000

Network Hospital

733

39.54

Surgical management of Dissecting Aneurysms

180001

Network Hospital

734

39.56.1

Surgical Management of Vascular Injury In Upper Limbs Axillary,Branchial,Radial And Ulnar -With Vein Graft

20000

Network Hospital

735

39.56.2

Surgical Management of Vascular Injury With Vein Graft

30000

Network Hospital

736

39.57.2

Surgical Management of Vascular Injury With Prosthetic Graft

40001

Network Hospital

737

39.57.3

Surgical Management Of Neck Vascular Injury - Carotid Vessels - With Prosthetic Graft

100000

Network Hospital

738

39.57.4

Surgical Management Of Major Vascular Injury -In Lower Limbs With Prosthetic Graft

70000

Network Hospital

739

39.57.5

Surgical Management Of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic Graft

70000

Network Hospital

740

39.57.6

Surgical Management Of Vascular Injury In Upper Limbs Axillary,Branchial,Radial And Ulnar -With Prosthetic Graft

70000

Network Hospital

741

42.31

Surgical Management of Oesophageal Diverticula /Achalasia Cardia

50000

Network Hospital

742

42.9

Gastro Study Followed By Thoracotomy & Repairs For Oesophageal Injury For Corrosive Injuries/Fb

65000

Network Hospital

743

53.8

Surgical Management of Diaphragmatic Hernia

60000

Government

Hospital 744

98.15.1

Bronchoscopic Foreign body removal

20000

Network Hospital

S8. PAEDIATRIC SURGERIES 745

02.1

Surgical management of Encephalocele

42083

Network Hospital

746

05.2

Surgical management of Neuroblastoma

46270

Network Hospital

747

07.2

Adrenal Gland Surgeries In Paediatric patients(07.3&07.4)

47334

Network Hospital

748

16.49.1

Execision of pediatric tumors

50000

Network Hospital

749

18.71

Surgical correction of Microtia/Anotia In Paediatric Patient

32840

Government Hospital

750

18.21.2

Surgical treatment for Preauricular sinus in pediatric patient

10000

Network Hospital

751

27.43.1

Excision of Retention Cyst Lip

2761

Network Hospital

752

27.54.3

Surgical correction of Cleft Lip

25000

Government Hospital

753

27.62

Surgical correction of Cleft Palate

25000

Government Hospital

754

27.69

Surgical corection of Velo-Pharyngeal Incompetence

35335

Network Hospital

755

29.52.2

Surgical management of Sinuses & Fistula of the neck in Paediatric Patient

20870

Government Hospital

756

32.2

Excision ofThoracoscopic cysts

40001

Network Hospital

757

32.2.2

Open excision of Lung cyst In Paediatric Patient

40001

Network Hospital

758

34.06

Empyema decortication In Paediatric Patients

30632

Network Hospital

759

34.09

Empyema-ICD drainage In Paediatric Patients

10001

Network Hospital

760

34.3.3

Mediastinal Cyst Excision In Paediatric Patients

66000

Network Hospital

761

34.52

Thoracoscopic Decortication In Paediatric Patients

48001

Network Hospital

762

34.74

Surgical Correction of Thoracic Wall Defects

65007

Government Hospital

763

39.99

Excision of Haemangioma

18828

Government Hospital

764

40.29.4

Surgical management of Lymphangioma In Paediatric Patients

48000

Network Hospital

765

41.5.5

Paediatric Splenectomy (Non Traumatic)

42000

Government Hospital

766

42.12

Surgical management of Oesophageal Atresia In Paediatric Patients

61889

Network Hospital

767

42.42.4

Surgical Correction of Thoracic Duplications In Paediatric Patients

44545

Network Hospital

768

42.85

Surgical Correction of Esophageal Obstructions In Paediatric Patients

58499

Network Hospital

769

42.89

Surgical Correction of Esophageal Substitutions In Paediatric Patients

73167

Network Hospital

770

43.3.2

Surgical management of - Gastric Outlet Obstructions In Paediatric Patients

30000

Network Hospital

771

44.66

Surgical management of Gastro Esophageal Reflux In Paediatric Patients

36411

Government Hospital

772

45.3.3

Surgical Management of Intestinal Atresias & Obstructions In Paediatric Patients

65000

Network Hospital

773

45.33.2

Meckel's Diverticulectomy In Paediatric Patients

40001

Government Hospital

774

45.4

Surgical management of Intestinal Polyposis In Paediatric Patients

60000

Government Hospital

775

45.95.2

Stage 2 procedure for Anorectal Malformations In Paediatric Patients

60001

Network Hospital

776

46.11.1

Stage 1 procedure for Anorectal Malformations In Paediatric Patients

48001

Network Hospital

777

46.11.2

Stage 1 procedure for Hirschprungs Disease In Paediatric Patients

48001

Network Hospital

778

46.32.1

Feeding Jejunostomy In Paediatric Patients

28848

Government Hospital

779

46.51.3

Ileostomy closure In Paediatric Patients

25000

Network Hospital

780

46.52.3

Stage 2 procedure for Hirschprungs Disease In Paediatric Patients

72000

Network Hospital

781

46.52.4

Colostomy closure In Paediatric Patients

24999

Network Hospital

782

46.99

Surgical mangement of Acute Intestinal Obstruction In Paediatric Patients

48002

Network Hospital

783

48.36

Rectal polypectomy In Paediatric Patients

8000

Government Hospital

784

48.41.1

Laparoscopic Pull Through For Ano Rectal Anomalies In Paediatric Patients

72000

Network Hospital

785

48.41.2

Laparoscopic Pull Through Surgeries For Hirschprungs Disease In Paediatric Patients

72001

Network Hospital

786

49.12

Surgical mangement of Anal Fissure and Fistula In Paediatric Patients

22591

Network Hospital

787

51.63

Surgical Management of Biliary Atresia & Choledochal Cyst In Paediatric Patients

69455

Network Hospital

788

52.9

Pancreatic surgery in Paediatric Patients

75000

Network Hospital

789

53

Unilateral Inguinal Hernia repair In Paediatric Patients

14999

Network Hospital

790

53.1

Bilateral Inguinal Hernia repair In Paediatric Patients

20000

Network Hospital

791

53.21

Femoral Hernia repair In Paediatric Patients

15000

Network Hospital

792

53.42.2

Umbilical Hernia repair In Paediatric Patients

20000

Network Hospital

793

53.51.2

Incisional Hernia repair In Paediatric Patients

30000

Network Hospital

794

53.72.1

Open repair of diaphragmatic hernia in Paediatric patients

74734

Network Hospital

795

53.9.2

Lumbar Hernia repair In Paediatric Patients

15000

Network Hospital

796

54.11

Surgical management of peritonitis in Paediatric Patients

39999

Network Hospital

797

54.3.2

Correction of Vitello intestinal duct anomalies in Paediatric Patients

38760

Network Hospital

798

54.7

Repair of Abdominal wall defects

75000

Network Hospital

799

54.9

Surgical management of Abdominal trauma in Paediatric Patients

59999

Network Hospital

800

54.99.2

Correction of Duplications of alimentary tract in Paediatric Patients

47160

Network Hospital

801

55.03.1

Renal calculi-nephrolithotomy in Paediatric Patients

32210

Network Hospital

802

55.5.1

Simple Nephrectomy

40000

Government

Hospital 803

55.8

Surgical Management of Congenital Hydronephrosis in Paediatric Patients

54708

Network Hospital

804

56.2.1

Open ureterolithotomy

28785

Network Hospital

805

56.6

Ureterostomy in Paediatric Patients

32355

Network Hospital

806

56.74.1

Ureteric Reimplantations

34774

Network Hospital

807

56.92

Ureteric Implantation with tailoring

41883

Network Hospital

808

57.1

Vesical calculi-vesicolithotomy in Paediatric Patients

23601

Network Hospital

809

57.17

Supra pubic drainage- open in Paediatric Patients

10000

Network Hospital

810

57.21.1

Vesicostomy

25760

Network Hospital

811

57.22

Vesicotomy closure in Paediatric Patients

26912

Network Hospital

812

57.86.1

Stage 1 procedure for Exstrophy Bladder in Paediatric Patients

73212

Network Hospital

813

57.86.2

Stage 2 procedure for Exstrophy Bladder in Paediatric Patients

70227

Network Hospital

814

57.87

Bladder augmentation

52643

Network Hospital

815

58.39

Surgical Management of Posterior Urethral Valves

30002

Network Hospital

816

58.4

Repair of Urethral injuries in Paediatric Patients

26026

Network Hospital

817

58.45.1

Single Stage procedure for Hypospadiasis

40000

Network Hospital

818

58.45.2

Stage 1 procedure for Hypospadiasis

29357

Network Hospital

819

58.45.3

Stage 2 procedure for Hypospadiasis

29861

Network Hospital

820

58.45.4

Surgical Correction of Epispadiasis

41866

Government Hospital

821

61.49

Surgical Correction of Scrotal Transposition In Paediatric Patients

20000

Government Hospital

822

62.5.2

Surgical management of Undescended Testis In Paediatric Patients

25000

Government Hospital

823

62.5.3

Laparoscopic Orchidopexy In Paediatric Patients

25000

Network Hospital

824

63.1.1

Laparoscopic Varicocele Ligation

40001

Network Hospital

825

63.1.2

Open Varicocele ligation

30000

Government Hospital

826

63.1.3

Hydrocele high ligation In Paediatric Patients

15000

Network Hospital

827

63.52

Surgical Management for Torsion of Testis

25193

Network Hospital

828

64.4

Surgical Management of Phimosis and Paraphimosis

8000

Government Hospital

829

64.5

Intersex-Genitoplasty surgery(70.6)

45377

Network Hospital

830

76.5.2

Surgical Management of Tempero mandibular Joint Ankylosis

44541

Government Hospital

831

76.93.2

Management Of Tmj Dysfunction Syndrome (76.94)

1087

Government Hospital

832

77.8.1

Execision of cogental dermal sinus

30000

Government Hospital

833

83.79

Surgical Management of Torticollis in Paediatric Patient

15467

Network Hospital

834

86.04.1

Excision of hamartoma

20000

Network Hospital

835

86.09.1

Execision of cysti lesions of neck

25000

Government Hospital

836

86.3.10

Excision of External angular dermoid in Paediatric Patient

8057

Network Hospital

837

86.3.13

Surgical Management (excision) of Congenital Dermal Sinus

30001

Network Hospital

838

86.3.15

Excision of Sebacencyst Lipoma in Paediatric Patient

5840

Network Hospital

839

86.85.1

Surgical correction of Syndactyly of Hand For Each Hand in Paediatric Patient

25000

Network Hospital

840

86.85.2

Syndactoly correction-multiple correction in Paediatric Patient

27998

Network Hospital

841

96.23

Anal Dilatation

5000

Government Hospital

Renal angio embolization

34313

Network Hospital

S9. GENITO URINARY SURGERIES 842

38.17

843

39.27.3

A.V. Fistula surgery (creation) [Pre-Transplant Procedure Only]

9999

Network Hospital

844

39.50.1

Balloon dialatation of transplant Renal Artery stenosis

32614

Network Hospital

845

39.53.1

AV Fistula

10995

Network Hospital

846

40.9.1

Open post transplant lymphocele

29330

Network Hospital

847

40.9.2

Laproscopic post transplant lymphocele

31389

Network Hospital

848

40.24.1

Uni-lateral illioinguinal block dissection in non malignant conditions

30000

Network Hospital

849

40.24.2

Bi-lateral illioinguinal block dissection

63849

Network Hospital

850

54

Surgery for Retroperitoneal Fibrosis Open/Lap

39427

Network Hospital

851

54.99

Parapelvic Cyst Excision-Open/Lap

32000

Network Hospital

852

55.01

Open Nephrolithotomy

24100

Network Hospital

853

55.02

Nephrostomy - Renal

13001

Network Hospital

854

55.04

Percutaneous Nephrolithotomy

34281

Network Hospital

855

55.4.1

Nephrectomy for Pyonephrosis/Xgp

40003

Network Hospital

856

55.4.3

Laproscopic Partial Nephrectomy

60001

Network Hospital

857

55.5.2

Laproscopic Simple Nephrectomy

50001

Network Hospital

858

55.5.3

Laproscopic Radical Nephrectomy

61880

Network Hospital

859

55.7.0

Revascularization procedure for renovascular hypertension

28433

Network Hospital

860

55.11.1

Open Pyelolithotomy

21767

Network Hospital

861

55.11.2

Laparoscopic Pyelolithotomy

41807

Network Hospital

862

55.11.3

Anatrophic Peylolithotomy For Staghorn Caliculus

50000

Network Hospital

863

55.11.4

Partial stag horn caluculi

33767

Government

Hospital Complete stag horn caluculi

37960

Government Hospital

Renal Cyst Excision

23218

Government Hospital

55.51.1

Radical Nephro-Ureterectomy

50000

Network Hospital

867

55.51.2

Bilateral Nephroureterectomy

80001

Network Hospital

868

55.51.3

Laproscopic unilateral Nephroureterectomy

50000

Network Hospital

869

55.51.4

Open unilateral Nephroureterectomy

44999

Network Hospital

870

55.51.5

Hemi- Nephroureterectomy

45000

Network Hospital

871

55.53

Post transplant graft Nephrectomy

35001

Network Hospital

872

55.6

Renal Transplantation Surgery

161100

Network Hospital

873

55.61

Renal auto transplantation

60000

Network Hospital

874

55.7

Nephropexy

35766

Network Hospital

875

55.87.1

Surgical Management of Congenital Hydronephrosis

35000

Network Hospital

876

55.87.2

Anderson Hynes Pyeloplasty

48000

Network Hospital

877

55.87.3

Retrograde Intrarenal Surgery(RIRS)

31579

Network Hospital

878

55.92

Laparoscopic deroofing of Renal Cyst

31786

Network Hospital

864

55.11.5

865

55.39

866

879

56

URSL

25000

Network Hospital

880

56.2.2

Laparoscopic ureterolithotromy

30000

Network Hospital

881

56.4

Surgical corrrection of Ureterocele

23659

Government Hospital

882

56.41

Excision of Ureterocele with Ureteric Implantation

42372

Network Hospital

883

56.51

Surgical Procedure for Ileal Conduit Formation

40673

Network Hospital

884

56.74.2

Post transplant revision Ureteroneo cystostomy/Pyelo Ureterostomy

37263

Network Hospital

885

56.74.3

Ureteric replacement

44875

Network Hospital

886

56.75

Uretero ureterostomy

32823

Network Hospital

887

56.91

Balloon dilatation of Ureteric stricture

20103

Network Hospital

888

57

Cystolithotripsy

13001

Network Hospital

889

57.01

Endoscope removel of stone in bladder

14000

Network Hospital

890

57.6.1

Partial Cystectomy

33842

Network Hospital

891

57.19

Open Cystolithotomy

19131

Network Hospital

892

57.21.2

Mitrafanoff procedure

46248

Network Hospital

893

57.49.1

Transurethral resection of bladder tumour (TURBT)

39001

Network Hospital

894

57.49.2

Transurethral resection of bladder tumour (TURBT) with intravesical Mitomycin instillation

35000

Network Hospital

895

57.51

Excision of Urachal cyst

34652

Network Hospital

896

57.59

Bladder Diverticulectomy

32197

Government Hospital

897

57.7

Total Cystectomy

45021

Government Hospital

898

57.71.1

Laproscopic radical cystectomy with Ilealconduit diversion

125000

Network Hospital

899

57.71.3

Laproscopic radical cystectomy with Ureterosigmoidostomy(57.88)

56663

Network Hospital

900

57.71.4

Open radical cystectomy with Ureterosigmoidostomy (57.88)

45000

Network Hospital

901

57.71.5

Laproscopic radical cystectomy with Continent Urinary diversion(56.7)

64656

Network Hospital

902

57.71.6

Open radical cystectomy with Continent Urinary diversion

50000

Network Hospital

903

57.84.1

Surgical correction of Vesicovaginal Fistula

44000

Government Hospital

904

57.84.2

Transvaginal repair of Vesicovaginal Fistula

35836

Network Hospital

905

57.84.4

Trans abdominal repair of Vesicovaginal Fistula with omentoplasty

52501

Network Hospital

906

57.88

Caecocystoplasty

41841

Network Hospital

907

57.91.1

Bladder neck incision

24134

Network Hospital

908

57.91.2

Bladder neck reconstruction for Incontinence

60000

Network Hospital

909

58

Perineal Urethrostomy

31650

Network Hospital

910

58.5.1

Optical Urethrotomy

20929

Network Hospital

911

58.5.2

BMG Urethroplasty for pan Urethral stricture

65000

Network Hospital

912

58.31

Excision of Urethral Caruncle

15962

Network Hospital

913

58.43

Urethral Fistula closure

30000

Network Hospital

914

58.45.5

Single stage- Urethroplasty for Stricture

50001

Network Hospital

915

58.46

Double stage Urethroplasty (Reconstruction Procedure) for stricture Urethra.

37497

Network Hospital

916

58.47

Meatoplasty

12275

Network Hospital

917

58.49

Transpubic Urethroplasty with Omentoplasty

65000

Network Hospital

918

58.49.1

Urethroplasty doblestage stage I

38671

Network Hospital

919

58.49.2

Urethroplasty doublestage stageII

37500

Network Hospital

920

58.6

Dilatation for Urethra stenosis

10562

Network Hospital

921

59.02

Nephrolysis/surgery for Chyluria Open/Lap

40000

Network Hospital

922

59.4.1

Surgical Management of Incontinence Urine (Male)

25601

Network Hospital

923

59.4.2

Surgical Management of Incontinence Urine (Female)

22001

Network Hospital

924

59.8.1

Dj Stent (One Side)

5001

Network Hospital

925

59.8.2

CAPD-Tenchkoff catheter insertion

36517

Network Hospital

926

59.09

Drainage of Perinephric Abscess

37966

Network Hospital

927

59.5

MMK/birch colpo suspension for stress urinary Incontinence

40000

Network Hospital

928

59.79

Mid urethral sling procedure for stress urinary incontinence

30000

Network Hospital

929

60.5.1

Laproscopic radical Prostratectomy

55000

Network Hospital

930

60.5.2

Open radical Prostratectomy

50000

Network Hospital

931

60.21

Laser Prostatectomy

40000

Network Hospital

932

60.29.1

Transurethral Resection of Prostate (TURP)

30000

Network Hospital

933

60.29.2

Transurethral Resection of Prostate (TURP) Cyst Lithotripsy

30000

Network Hospital

934

60.29.3

Bipolar TURP

40000

Network Hospital

935

60.3

Open Prostatectomy

33001

Government Hospital

936

61.4

Scrotal/Perineal Injuries

27460

Network Hospital

937

62.5

Orchidopexy Bilateral

22865

Government Hospital

938

63.92

Vasectomy reversal

23009

Network Hospital

939

64.3.1

Partial amputation of penis

36669

Government Hospital

940

64.41

Surgical Management of Penile Injuries

25000

Network Hospital

941

64.42.1

Surgical correction of Chordee

32862

Government Hospital

942

64.42.2

Surgical Correction of Chordee without Hypospadiasis

32318

Network Hospital

943

64.43

Plaque Excision/Plasty for Penile curvature/Peyronies disease

40000

Network Hospital

944

64.98

Surgery for Priapism

35000

Network Hospital

945

86.75

Difficult vascular access/graft

30000

Network Hospital

946

97.64

CAPD-Tenchkoff catheter removal

33942

Network Hospital

947

97.65

Cystoscopy/ Stent removal

9102

Government Hospital

948

98.51

Extracorporeal shockwave lithotripsy (ESWL)

20000

Network Hospital

949

99.23.1

Post Renal Transplant Immunosuppressive Treatment From 1st To 6th Months

91669

Network Hospital

950

99.23.2

Post Renal Transplant Immunosuppressive Treatment From 7th To 12 Th Month.

61208

Network Hospital

951

99.28.1

Intravesical BCG Induction therapy

9751

Network Hospital

952

99.28.2

Intravesical BCG maintenance

16914

Network Hospital

S10. NEURO SURGERY 953

01.09.1

Twist Drill Craniostomy

15000

Network Hospital

954

01.09.2

Subdural Tapping

19500

Network Hospital

955

01.09.3

Ventricular Tapping

15000

Network Hospital

956

1.13

Burr Hole procedure for evacuation of Brain Abscess

32681

Network Hospital

957

1.18

Endoscopy Procedures -Brain

78000

Network Hospital

958

01.24.1

Craniotomy And Evacuation of Subdural Haematoma

66000

Network Hospital

959

01.24.2

Craniotomy And Evacuation of Extradural Haematoma

60000

Network Hospital

960

1.25

De-Compressive Craniectomy (Non Traumatic)

80000

Network Hospital

961

1.31

Tapping of Brain Abscess

40000

Network Hospital

962

1.39

Evacuation of Intra-Cerebral Hematoma

72000

Network Hospital

963

01.53.1

Temporal Lobectomy Plus Depth Electrodes

140000

Network Hospital

964

01.53.2

Temporal Lobectomy

75001

Network Hospital

965

1.53.3

Excision of Lobe(frontal,temporal,cerebe llum Etc.)

40000

Network Hospital

966

01.59.1

Excision of Parasagital Brain tumour

68890

Network Hospital

967

01.59.2

Excision of Basal Brain tumour

70001

Network Hospital

968

01.59.3

Excision of Brain Stem Brain tumour

70001

Network Hospital

969

01.59.4

Excision of C P Angle Brain tumour

80004

Network Hospital

970

01.59.5

Excision of Other Brain tumours

48249

Network Hospital

971

01.59.6

Lesionectomy Type 1

56860

Network Hospital

972

01.59.7

Lesionectomy Type 2

57044

Network Hospital

973

01.59.8

Excision of Subtentorial Brain Tumours

48249

Network Hospital

974

01.59.9

Evacuation of Brain Abscess

60000

Network Hospital

975

01.59.10

Surgical Management of Meningomyelocele

39999

Network Hospital

976

01.59.11

Intra Ventricular Tumours

60000

Network Hospital

977

01.59.12

Meningocele Excision

40001

Network Hospital

978

1.59.1

Excision of brain abscess

70001

Network Hospital

979

2

Cranioplasty

30000

Network Hospital

980

2.02

Depressed / Elevated Fracture

30001

Network Hospital

981

2.05

Cranioplasty With Impants

30000

Network Hospital

982

2.06

Cranioplasty With Titanium Mesh

31633

Network Hospital

983

2.12

Surgical Management of Meningo Encephalocele

40000

Network Hospital

984

2.2

Endoscopic Third Ventriculostomy

30000

Network Hospital

985

2.31

Surgical Management of C.S.F. Rhinorrhoea

40000

Network Hospital

986

2.32

Ventriculo Atrial Shunt

20000

Network Hospital

987

2.32.1

Atrial shunt

20000

Government Hospital

988

2.34

Ventriculo Peritoneal Shunt

30000

Network Hospital

989

2.34.1

Ventriculoatrial / Ventriculoperitonial shunt

20000

Network Hospital

990

2.39

External Ventricular Drainage (EVD)

40000

Network Hospital

991

3.1

Selective Posterior Rhizotomy

30000

Network Hospital

992

03.4.1

Surgery for Cord Tumours

38000

Network Hospital

993

03.4.2

Surgical Management of Intra Medullary Spinal Tumours

50000

Network Hospital

994

03.4.3

Surgical Management of Syringomyelia

60000

Network Hospital

995

03.09.1

Laminectomy

26648

Government Hospital

996

03.09.2

Laminoplasty With Implants

30179

Network Hospital

997

3.39

Endoscopy - Spinal

29000

Network Hospital

998

3.52

Meningo Myelocele Spinal Procedure

25001

Network Hospital

999

03.59.1

Surgical Management of Spina Bifida Major

34999

Network Hospital

1000

03.59.2

Surgical Management of Spina Bifida Minor

29999

Network Hospital

1001

3.96

Facet, Nerve Root Blocks

10000

Network Hospital

1002

4.02

Radio Surgery For Brain Tumours & Vascular Malformations/ Trigeminal Neuralgia

25001

Network Hospital

1003

4.2

Radiofrequency Ablation For Trigeminal Neuralgia

30000

Network Hospital

1004

04.5.2

Surgical treatment for brachial plexus injuries

71998

Network Hospital

1005

4.41

Microvascular Decompression For Trigeminal Neuralgia

60000

Network Hospital

1006

4.43

Surgical management Carpal tunnel syndrome

10001

Network Hospital

1007

04.76.1

Peripheral Nerve Injury Repair

40000

Network Hospital

1008

5.22

Cervical Sympathectomy

30000

Government Hospital

1009

05.23.1

Lumbar Sympathectomy

30000

Government Hospital

1010

7.62

Trans Sphenoidal Surgery

40001

Network Hospital

1011

38.12.2

Carotid Endarterectomy

39999

Network Hospital

1012

39.28

Intra Cranial Vascular Bypass

100000

Network Hospital

1013

39.51

Aneurysm Clipping

110000

Network Hospital

1014

39.53.2

Other Vascular Malformations (Other Than AVM) - Cavernomas, AV Fistulas, Sinus Pericranii

60000

Government Hospital

1015

39.72.1

Embolization of Aneurysm

75001

Network Hospital

1016

39.72.2

Brain Tumour Embolisation

28001

Network Hospital

1017

39.79.1

Coil Embolization of Aneurysm (each coil cost)

30000

Network Hospital

1018

39.79.2

Surgical Management of Vascular Malformations

60002

Network Hospital

1019

78.19

Spinal Fixation Rods And Plates, Artificial Discs

85000

Government Hospital

1020

80.5.1

Anterior Lateral Decompression

30000

Network Hospital

1021

80.51.1

Postirior cervical disectomy

26648

Network Hospital

1022

80.51.2

Excision Of Cervical Inter-Vertebral Discs

30000

Network Hospital

1023

80.51.3

Anterior Discectomy & Bone Grafting

40000

Network Hospital

1024

80.51.4

Discectomy With Implants

65000

Government

Hospital 1025

80.51.5

Anterior Cervical Discectomy

26650

Network Hospital

1026

80.51.6

Disectomy

26648

Network Hospital

1027

80.99

Corpectomy For Spinal Fixation

74999

Network Hospital

1028

81.00.2

Spinal Fusion Procedure

50000

Network Hospital

1029

81.01.1

Trans Oral Surgery

40000

Network Hospital

1030

81.01.2

Combined Trans-Oral Surgery & Cv Junction Fusion

51190

Network Hospital

1031

81.01.3

C.V. Junction Fusion

40000

Network Hospital

1032

81.02

Anterior Cervical Spine Surgery With Fusion

45001

Network Hospital

1033

86.3.14

Excision Of Scalp Lesions

10000

Network Hospital

1034

93.59

Stereotactic Procedures

20000

Network Hospital

S11. SURGICAL ONCOLOGY 1035

06.4.3

Thyroidectomy any type in malignant conditions

30003

Network Hospital

1036

06.8.2

Parathyroidectomy in malignant conditions

34958

Network Hospital

1037

06.31.5

Excision of Solitory Thyroid nodule in malignant conditions

35696

Network Hospital

1038

06.39

Thyroidectomy for solitary nodule in malignant conditions

37342

Network Hospital

1039

07.3.2

Laparoscopic Biilateral adrenalectomy in malignant conditions

41080

Network Hospital

1040

07.22.2

Unilateral Adrenalectomy in malignant conditions

65636

Network Hospital

1041

16.51

Maxillectomy + Orbital Exenteration in malignant conditions

53863

Network Hospital

1042

16.59

Orbital Exenteration in malignant conditions

42061

Network Hospital

1043

17.33.2

Laproscopic Right Hemicolectomy in malignant conditions

40001

Network Hospital

1044

17.35.1

Hartman procedure in malignant conditions

49787

Network Hospital

1045

17.35.2

Laparoscopic Left Hemicolectomy in malignant conditions

40000

Network Hospital

1046

18.3

Sleeve Resection of Ear in malignant conditions

44307

Network Hospital

1047

25.2.2

Hemiglossectomy in malignant conditions

41267

Network Hospital

1048

25.3

Total Glossectomy + Reconstruction in malignant conditions(25.59)

57849

Network Hospital

1049

26.32.1

Parotidectomy any type in malignant conditions

25005

Network Hospital

1050

26.32.2

Excision of Submandibular gland in malignant conditions

26001

Network Hospital

1051

27.32

Palatectomy any type in malignant conditions

39784

Network Hospital

1052

27.49.2

Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59)

63314

Network Hospital

1053

29.3.1

Excision of Parapharyngeal tumours in malignant conditions

47429

Network Hospital

1054

29.3.2

Resection of Nasopharyngeal Tumor in malignant conditions

76605

Network Hospital

1055

30.4.1

Laryngectomy Any Type in malignant conditions

68183

Network Hospital

1056

30.4.2

Laryngopharyngo Oesophagectomy in malignant conditions

97000

Network Hospital

1057

31.5

Tracheal Resection in malignant conditions - CA Thyroid/CA Trachea

65002

Network Hospital

1058

32.4.1

Sleeve Resection of Lung Cancer

108000

Network Hospital

1059

32.4.3

Lobectomy for Carcinoma Lung

77000

Network Hospital

1060

32.5.2

Pneumonectomy for Carcinoma Lung

80287

Network Hospital

1061

32.9.0

Icd + pleurodesis

19384

Network Hospital

1062

32.29.1

Solitary Lung Metastatectomy in malignant conditions

69060

Network Hospital

1063

32.29.2

Lung Metastatectomy multiple in malignant conditions

78001

Network Hospital

1064

34.04

Intercostal Drainage(Icd) in malignant conditions

3001

Network Hospital

1065

34.3.2

Resection of mediastinal tumors in malignant conditions

63757

Network Hospital

1066

34.3.4

Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31)

60751

Network Hospital

1067

34.4.1

Surgical Resection of Soft tissue /Bone tumors of Chest wall

30000

Network Hospital

1068

34.4.2

Surgical Resection and Reconstruction of Soft tissue /Bone tumors of Chest wall in malignant conditions

70000

Network Hospital

1069

34.73.4

Surgical Correction of Bronchopleural Fistula - Transpleural BPF Closure in malignant conditions

75038

Network Hospital

1070

38.07

IVC thrombectomy in malignant conditions

53662

Network Hospital

1071

38.7.2

IVC filters for tumour thrombus in malignant conditions

57863

Network Hospital

1072

39.57.1

Vascular reconstruction with synthetic graft in malignant conditions

71249

Network Hospital

1073

39.58

Vascular reconstruction with auto graft in malignant conditions

75854

Network Hospital

1074

39.97

Vascular isolation and perfusion in malignant conditions

53344

Network Hospital

1075

39.59

Microvascular reconstruction

88301

Network Hospital

1076

40.4

Neck Dissection Any Type in malignant conditions

32500

Network Hospital

1077

40.50

Retro Peritoneal Lymph Node Dissection RPLND As Part Of Staging in malignant conditions

40001

Network Hospital

1078

40.24

Ilioinguinal block disection in malignant conditions

63849

Network Hospital

1079

40.51

Axillary Dissection in malignant conditions

39225

Network Hospital

1080

40.53

Bilateral Pelvic Lymph Node Dissection(Bplnd) in malignant conditions

40001

Government Hospital

1081

40.53.1

Bilateral pelvic lymph node dissection(bplnd)(CA. URINARY BLADDER)

40001

Network Hospital

1082

40.54

Inguinal Block Dissection One Side in malignant conditions

29781

Network Hospital

1083

40.59.1

Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in malignant conditions

78000

Network Hospital

1084

40.59.2

Popliteal lymphadenectomy in malignant conditions

30000

Network Hospital

1085

41.5.7

Splenectomy in malignant conditions

42804

Network Hospital

1086

42.40.2

Oesophagectomy Any Type in malignant conditions

78004

Network Hospital

1087

42.42.1

Transhiatal oesophagectomy in malignant conditions

80000

Network Hospital

1088

42.42.2

Oesophagectomy With Two Field Lymphadenectomy in malignant conditions(40.59)

117000

Network Hospital

Oesophagectomy With Three Field Lymphadenectomy in malignant conditions(40.59)

120001

Network Hospital

42.65

Substernal Gastric Bypass in malignant conditions

49771

Network Hospital

1091

43.1.2

Gastrostomy in malignant conditions

20001

Network Hospital

1092

43.7.3

Laparoscopic mobilization of stomach with distal gastrectomy with billroth i/ii anastomosis in malignant conditions

100000

Network Hospital

1093

43.7.4

Thoracoscopic Mobilization of Oesophagus + Laparoscopic Mobilization of stomach + Gastric Pull-up in malignant conditions

120000

Network Hospital

1094

43.89

Gastrectomy Any Type in malignant conditions

50001

Network Hospital

1095

44.39.1

Gastro Jejunostomy in malignant conditions

50001

Network Hospital

1096

45.3.1

Small Bowel Resection in malignant conditions

48000

Network Hospital

1097

45.7

Colectomy Any Type in malignant conditions

52001

Network Hospital

1098

45.93

Ileotransverse Colostomy in malignant conditions

60004

Network Hospital

1099

46.1.2

Colostomy in malignant conditions

20001

Network Hospital

1100

46.2.1

Ileostomy in malignant conditions

32606

Network Hospital

1101

46.32.2

Jejunostomy in malignant conditions

31848

Network Hospital

1102

46.41

Laparoscopic anterior/low resection with stapplers with diversion covering ileostomy in malignant conditions

100000

Network Hospital

1103

46.51.1

Ileostomy Closure in malignant conditions

25000

Network Hospital

1089

42.42.3

1090

1104

46.52.1

Colostomy Closure in malignant conditions

25001

Network Hospital

1105

48.51

Laparoscopic abdominoperineal resection in malignant conditions

100000

Network Hospital

1106

48.52

Abdomino Perineal Resection (Apr) + Sacrectomy in malignant conditions(77.99)

60000

Network Hospital

1107

48.63.2

Anterior Resection of rectum in malignant conditions

50000

Network Hospital

1108

48.64

Posterior Exenteration for Carcinoma Rectum

60000

Network Hospital

1109

48.69

Total Exenteration for Carcinoma Rectum

98001

Network Hospital

1110

50.2

Hepatectomies in malignant conditions

100000

Network Hospital

1111

51.22

Radical Cholecystectomy in malignant conditions

78000

Network Hospital

1112

52.52

Distal Pancreatectomy in malignant conditions

100000

Network Hospital

1113

52.96

Other Bypasses-Pancreas in malignant conditions

50517

Network Hospital

1114

54.1

Inoperable Laparotomy in malignant conditions

36267

Network Hospital

1115

54.3.1

Abdominal Wall Tumor Resection in malignant conditions

52483

Network Hospital

1116

54.3.3

Resection With Reconstruction of Abdominal wall Tumors in malignant conditions

59001

Network Hospital

1117

54.4

Resection Of Retroperitoneal Tumors in malignant conditions

60000

Network Hospital

1118

55.4.2

Open Partial Nephrectomy

40002

Network Hospital

1119

55.5

Laproscopic radical nephrectomy in malignant conditions

100000

Network Hospital

1120

55.5.4

Radical Nephrectomy

50001

Network Hospital

1121

54.21

Diagnostic Laparoscopy in malignant conditions

22145

Network Hospital

1122

55.51.6

Nephroureterectomy For Transitional Cell Carcinoma Of Renal Pelvis in malignant conditions

65001

Network Hospital

1123

56.5

Urinary Diversion in malignant conditions(56.6/56.7)

63249

Network Hospital

1124

57.6.2

Other Cystectomies in malignant conditions

87641

Network Hospital

1125

57.18

Suprapubic cystostomy

16993

Network Hospital

1126

57.71.2

Open radical cystectomy with Ilealconduit diversion

100000

Network Hospital

1127

57.79.2

Anterior Exenteration (CA. Urinary Bladder)

60000

Network Hospital

1128

57.79.3

Total Exenteration (CA. Urinary Bladder)

75001

Network Hospital

1129

60.5.3

Radical Prostatectomy in malignant conditions

86646

Network Hospital

1130

60.29.4

Channel TURP

39280

Network Hospital

1131

61.3.1

Scrotectomy in malignant conditions

38442

Network Hospital

1132

62.3.3

High Orchidectomy

22000

Network Hospital

1133

62.4

Bilateral Orchidectomy

23344

Network Hospital

1134

64.3

Emasculation in malignant conditions

40566

Network Hospital

1135

64.3.2

Total Penectomy

36670

Government Hospital

1136

65

Surgery For Carcinoma Ovary Early Stage

31764

Network Hospital

1137

65.2.1

Excision of Complex ovarian mass in malignant conditions

50080

Network Hospital

1138

65.2.2

Ovarian cystectomy in malignant conditions

50024

Network Hospital

1139

65.4

Unilateral Salpingo Oophorectomy in malignant conditions

30000

Network Hospital

1140

65.6

Surgery For Carcinoma Ovary Advance Stage

52000

Network Hospital

1141

65.6.1

Bilateral Salpingo Oophorectomy in malignant conditions

30000

Network Hospital

1142

67.4

Radical Trachelectomy in malignant conditions

50572

Network Hospital

1143

68.6

Radical Hysterectomy in malignant conditions

55661

Network Hospital

1144

68.8.1

Laparoscopic pelvic exenteration in malignant conditions

120000

Network Hospital

1145

68.8.2

Anterior Exenteration - Carcinoma Cervix

84752

Network Hospital

1146

68.8.3

Posterior Exenteration - Carcinoma Cervix

65000

Network Hospital

1147

68.8.4

Total Pelvic Exenteration - Carcinoma Cervix

98000

Network Hospital

1148

68.8.5

Supra Levator Exenteration - Carcinoma Cervix

90000

Network Hospital

1149

68.41.1

Laparoscopic extraFACIAL hysterectomy + multiple biopsies + omentectomy in malignant conditions

47251

Network Hospital

1150

68.41.2

Laparoscopic ExtraFACIAL Hysterectomy with Bilateral pelvic node dissection in malignant conditions

47067

Network Hospital

1151

68.49

Hysterectomy in malignant conditions

32500

Network Hospital

68.69.1

Total Abdominal Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph Node Dissection (Bplnd) + Omentectomy in malignant conditions

62139

Network Hospital

1153

68.69.2

Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (Bplnd) + Bilateral Salpingo Ophorectomy (Bso) / Ovarian Transposition in malignant conditions

50007

Network Hospital

1154

68.69.3

Laparoscopic wertheim hysterectomy in malignant conditions

53215

Network Hospital

1155

70.4.1

Radical Vaginectomy in malignant conditions

53121

Network Hospital

1156

70.4.2

Radical Vaginectomy + Reconstruction(70.62)

60547

Network Hospital

1157

71.5

Vulvectomy in malignant conditions

45864

Network Hospital

1158

76.4

Cranio Facial Resection in malignant conditions

91000

Network Hospital

1159

76.5.3

Resection of Lateral Temporal Bone in malignant conditions

68119

Network Hospital

1160

76.5.4

Subtotal Resection of Temporal Bone in malignant conditions

71975

Network Hospital

1161

76.5.5

Total Resection of Temporal Bone in malignant conditions

78000

Network Hospital

1162

76.31

Hemimandibulectomy in malignant conditions

37764

Network Hospital

1163

76.31.3

Marginal Mandibulectomy in malignant conditions

44120

Network Hospital

1164

76.39

Maxillectomy Any Type in malignant conditions

30772

Network Hospital

1165

76.65.1

Maxillectomy + Infratemporal Fossa Clearance in malignant conditions

65677

Network Hospital

1166

77.60.1

Bone Resection in malignant conditions

42966

Network Hospital

1152

1167

77.60.2

Scalp tumour with calvarial resection in malignant conditions

60662

Network Hospital

1168

77.60.3

Bone and Soft TissueTumors Amputation in malignant conditions(83.49)

28301

Network Hospital

1169

77.60.11

Surgery (removal) for Bone/Soft tissue tumors-Without Prosthesis in malignant conditions(83.49)

49173

Network Hospital

1170

77.60.12

Surgery (removal) for Bone / Soft tissue tumors-With Custom Made Prosthesis in malignant conditions(83.49+84.40)

85508

Network Hospital

1171

77.60.13

Surgery (removal) for Bone / Soft tissue tumors-With Modular Prosthesis in malignant conditions(83.49+84.40)

98000

Network Hospital

1172

77.81

Shoulder Girdle Resection in malignant conditions

55093

Network Hospital

1173

77.99

Sacral Resection in malignant conditions

60000

Network Hospital

1174

83.49.1

Soft tissue and bone tumour wide exision

15000

Network Hospital

1175

83.49.2

Soft tissue And Bone tumors wide excision reconstruction

25001

Network Hospital

1176

83.49.3

Head and Neck - Wide Excision

39575

Network Hospital

1177

84.09.1

Forequarter Amputation in malignant conditions

78234

Network Hospital

1178

84.19.2

Hemipelvectomy in malignant conditions

78886

Network Hospital

1179

84.19.3

Internal Hemipelvectomy in malignant conditions

79638

Network Hospital

1180

84.56

Curettage & Bone Cement in malignant conditions

51130

Network Hospital

1181

85.4

Mastectomy Any Type in malignant conditions

30000

Network Hospital

1182

85.7.1

Breast Reconstruction Surgery

41827

Network Hospital

1183

85.21

Lumpectomy

3090

Network Hospital

1184

85.22.1

Wide Excision - Breast in malignant conditions

5150

Network Hospital

1185

86.4.1

Skin Tumors Wide Excision in malignant conditions

34452

Network Hospital

1186

86.4.2

Skin Tumors wide Excision + Reconstruction in malignant conditions(86.6/86.7)

40000

Network Hospital

1187

86.4.3

Wide local excision in malignant conditions

63406

Network Hospital

1188

86.4.5

Wide local excision + reconstruction

63406

Network Hospital

1189

86.9

Skin Tumors amputation in malignant conditions

24382

Network Hospital

1190

86.63

Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions

35675

Network Hospital

1191

86.89

Composite Resection & Reconstruction - Head & Neck in malignant conditions

65061

Network Hospital

1192

99.85

Isolated limb perfusion-hyperthermia in malignant conditions

60933

Network Hospital

Prostate Cancer with Hormonal Therapy

3711

Network Hospital

S12. MEDICAL ONCOLOGY 1193

99.24

1194

99.25.1

Chemotherapy for Breast Cancer with Adriamycin / Cyclophosphamide (Ac)

3601

Network Hospital

1195

99.25.2

Chemotherapy for Bladder Cancer with Weekly Cisplatin.

2000

Network Hospital

1196

99.25.3

Chemotherapy for Bladder Cancer with Methotrexate Vinblastine Adriamycin Cyclophosphamide (Mvac)

6000

Network Hospital

1197

99.25.4

Chemotherapy for Breast Cancer with 5- Fluorouracil A-C (Fac)

3600

Network Hospital

1198

99.25.5

Chemotherapy for Non SMAL cell Lung Cancer with Cisplatin/Etoposide (Iiib)

7000

Network Hospital

1199

99.25.6

Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib

15001

Network Hospital

1200

99.25.7

Chemotherapy for Non SMAL cell Lung Cancer with GEFITINIB

7081

Network Hospital

1201

99.25.8

Chemotherapy for Non SMAL cell Lung Cancer with Paclitaxel /Carboplatin

10000

Network Hospital

1202

99.25.9

Chemotherapy for Non SMAL cell Lung Cancer with PEM + Cisplatin

20000

Network Hospital

1203

99.25.10

Chemotherapy for Oesophageal Cancer with Cisplatin/5fu

6502

Network Hospital

1204

99.25.11

Chemotherapy for Gastric Cancer with 5-Fu Leucovorin (Mcdonald Regimen)

5001

Network Hospital

1205

99.25.12

Chemotherapy for Vulval Cancer with Cisplatin/5-Fu

5000

Network Hospital

1206

99.25.13

Chemotherapy for Gastric Cancer with EOX

15000

Network Hospital

1207

99.25.14

Chemotherapy for Gastric Cancer with Gemcitabine+Oxaliplatin

16000

Network Hospital

1208

99.25.15

Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin

12000

Network Hospital

1209

99.25.16

Ac (Ac Then T)

3601

Network Hospital

1210

99.25.17

Chemotherapy for Gastric Cancer with Imatinib(CML)

5634

Network Hospital

1211

99.25.18

Chemotherapy for Gastric Cancer with Dcf

18000

Network Hospital

1212

99.25.19

Chemotherapy for Colorectal Cancer with Monthly 5-Fu

5201

Network Hospital

1213

99.25.20

Chemotherapy for Colorectal Cancer with 5-Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III) Only

11500

Network Hospital

1214

99.25.21

Chemotherapy for Colorectal Cancer with Capecitabine + bevacizumab (metastatic)

7712

Network Hospital

1215

99.25.22

Chemotherapy for Colorectal Cancer with Capecitabine + Oxalipantia (adjuvant) and metastatic

12000

Network Hospital

1216

99.25.23

Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu

6000

Network Hospital

1217

99.25.24

Chemotherapy for Colorectal Cancer with Capacitabine

7000

Network Hospital

1218

99.25.25

Chemotherapy for Bone Tumors with Cisplatin/Adriamycin

7000

Network Hospital

1219

99.25.26

Chemotherapy for Bone Tumors - Hodgkin Lymphoma disease with Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd)

5000

Network Hospital

1220

99.25.27

Chemotherapy for Non Hodgkin Lymphoma with Cyclophosphamide Adriamycin Vincristine Prednisone (Chop)

4501

Network Hospital

1221

99.25.28

Chemotherapy for Breast Cancer with Paclitaxel

7001

Network Hospital

1222

99.25.29

Chemotherapy for Non Hodgkin Lymphoma with R - chop

45001

Network Hospital

1223

99.25.30

Chemotherapy for Multiple Myeloma with Vincristine, Adriamycin,Dexamethasone(Vad)

4001

Network Hospital

1224

99.25.31

Chemotherapy for Multiple Myeloma with Thalidomide+Dexamethasone(Oral)

5000

Network Hospital

1225

99.25.32

Chemotherapy for Multiple Myeloma with Melphalan Prednisone (Oral)

4501

Network Hospital

1226

99.25.33

Chemotherapy for Wilms Tumor with Siopwts Regimen(Stages I-III)

7000

Network Hospital

1227

99.25.34

Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel

11000

Network Hospital

1228

99.25.35

Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin

5001

Network Hospital

1229

99.25.36

Chemotherapy for Childhood B cell Lymphoma with variable regimen

19999

Network Hospital

1230

99.25.37

Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen

10000

Network Hospital

1231

99.25.38

Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma)

5000

Network Hospital

1232

99.25.39

Chemotherapy for Retinoblastoma with Carbo/Etoposide/Vincristine

5000

Network Hospital

1233

99.25.40

Chemotherapy for Breast Cancer with Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf)

2000

Network Hospital

1234

99.25.41

Chemotherapy for Histiocytosis with Variable Regimen

5000

Network Hospital

1235

99.25.42

Chemotherapy for Rhabdomyosarcoma with Vincristine-ActinomycinCyclophosphamide(Vactc) Based Chemo

9000

Network Hospital

1236

99.25.43

Chemotherapy for Ewings Sarcoma with Variable Regimen

5000

Network Hospital

1237

99.25.44

Chemotherapy for Acute Myeloid Leukemia with Induction Phase

60000

Network Hospital

1238

99.25.45

Chemotherapy for Ovarian cancer with Germ Cell Tumor BleomycinEtoposide-Cisplatin (Bep)

8000

Network Hospital

1239

99.25.46

Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase

60000

Network Hospital

1240

99.25.47

Chemotherapy for Acute Myeloid Leukemia with Maintenance phase

3000

Network Hospital

1241

99.25.48

Chemotherapy for Acute Lymphoblastic Leukemia with Induction 1st And 2nd Months

100000

Network Hospital

1242

99.25.49

Chemotherapy for Acute Lymphoblastic Leukemia with Induction 3rd, 4th, 5th

10000

Network Hospital

1243

99.25.50

Chemotherapy for Acute Lymphoblastic Leukemia with Induction Maintenance

12000

Network Hospital

1244

99.25.51

Palliative Chemotherapy for unlisted Regimen

5000

Network Hospital

1245

99.25.52

Chemotherapy for Breast Cancer with Tamoxifen Tabs

500

Network Hospital

1246

99.25.53

Palliative And Supportive Therapy for terminally ill cancer patient

3000

Network Hospital

1247

99.25.54

Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant Chemotherapy Of As-I

12000

Network Hospital

1248

99.25.55

Chemotherapy for Multiple myeloma with Zoledronic Acid Along With Adjuvant Chemotherapy Of As-I

3000

Network Hospital

1249

99.25.56

Chemotherapy for low risk Gestational trophoblast DS with Weekly Methotrexate

2000

Network Hospital

1250

99.25.57

Chemotherapy for Multiple myeloma with Lenalidomide dexa

10000

Network Hospital

1251

99.25.58

Chemotherapy for Multiple myeloma with MPT(myeloma)

5366

Network Hospital

1252

99.25.59

Chemotherapy for Multiple myeloma with Imatinib (GSIT)

7000

Network Hospital

99.25.60

Chemotherapy for Febrile Neutropenia with 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)

5000

Network Hospital

1253

1254

99.25.61

Chemotherapy for Febrile Neutropenia with 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)

1255

99.25.62

Chemotherapy for Chronic lymphoid leukemia with Benadamustine

16001

Network Hospital

1256

99.25.63

Chemotherapy for Chronic lymphoid leukemia with Chilorambucil

3000

Network Hospital

1257

99.25.64

Chemotherapy for Breast Cancer with Aromatase Inhibitors

1199

Network Hospital

1258

99.25.65

Chemotherapy for Chronic lymphoid leukemia with IA

10000

Network Hospital

1259

99.25.66

Chemotherapy for Chronic lymphoid leukemia with Imatinib(CML)

7000

Network Hospital

1260

99.25.67

Chemotherapy for low risk Gestational trophoblast DS with Actinomycin

5000

Network Hospital

1261

99.25.68

Chemotherapy for Chronic lymphoid leukemia with Sunitinib

15001

Network Hospital

1262

99.25.69

Chemotherapy With Temozolamide(brain tumours)

10001

Network Hospital

1263

99.25.70

Chemotherapy With Benadamustin -RITUXIMAB

60000

Network Hospital

1264

99.25.71

Chemotherapy With TIP(GCT 2nd line)

20001

Network Hospital

1265

99.25.72

Chemotherapy for Breast Cancer with Docetaxel

10000

Network Hospital

1266

99.25.73

Chemotherapy for Cervical Cancer with Weekly Cisplatin

2000

Network Hospital

1267

99.25.78

Chemotherapy for high risk Gestational trophoblast DS with EtoposideMethotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co)

6999

Network Hospital

1268

99.25.83

Chemotherapy for Testicular Cancer with Bleomycin with EtoposideCisplatin (Bep)

8000

Network Hospital

40000

Network Hospital

1269

99.25.84

Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib

10000

Network Hospital

1270

99.25.85

Chemotherapy with Capeiri(metastatic)

7712

Network Hospital

1271

99.25.86

Chemotherapy with Capeox(adjuvant) and metastatic

7187

Network Hospital

S13. RADIATION ONCOLOGY 1272

92.20.1

Brachytherapy Intracavitary I. Ldr Per Application

5850

Network Hospital

1273

92.20.2

Brachytherapy Intracavitary II. Hdr Per Application

3250

Network Hospital

1274

92.23.1

Radical Treatment with Cobalt 60 External Beam Radiotherapy

26000

Network Hospital

1275

92.23.2

Palliative Treatment with Cobalt 60 External Beam Radiotherapy

13000

Network Hospital

1276

92.23.3

Adjuvant Treatment with Cobalt 60 External Beam Radiotherapy

14999

Network Hospital

1277

92.24.1

Radical Treatment With Photons External Beam Radiotherapy (on Linear Accelerator)

65001

Network Hospital

1278

92.24.2

Palliative Treatment With Photons External Beam Radiotherapy (on Linear Accelerator)

26000

Network Hospital

1279

92.24.3

Adjuvant Treatment With Photons/Electrons / (92.25)External Beam Radiotherapy (on Linear Accelerator)

45000

Network Hospital

1280

92.27.1

Brachytherapy Interstitial I. Ldr Per Application

16331

Network Hospital

1281

92.27.2

Brachytherapy Interstitial II. Hdr One Application And Multiple Dose Fractions

25000

Network Hospital

1282

92.29.1

Specialized Radiation therapy- IMRT (Intensity modulated radiotherapy) Upto 40 Fractions IMRT In 8 Weeks

115697

Network Hospital

1283

92.29.2

Specialized Radiation therapy - 3DCRT(3-D conformational radiotherapy)Upto 30 Fractions 3DCRT In 6 Weeks

95000

Network Hospital

1284

92.29.3

Specialized Radiation therapy - SRS/SRT Upto 30 Fractions In SRS/SRT 6 Weeks

95000

Network Hospital

Skull base surgery

100000

Network Hospital

S14. PLASTIC SURGERY 1285

01.24.3

1286

02.01

Surgical correction for Craniosynostosis

87872

Network Hospital

1287

04.3.2

Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3)

46788

Network Hospital

1288

04.76.2

Sequalae of brachial plexus injuries

40580

Network Hospital

1289

04.76.3

Conservative treatment for brachial plexus injuries

10001

Network Hospital

1290

08.23

Corrective surgery for Hyperchalonism elecanthes

52742

Network Hospital

1291

08.52

Tarsorrhaphy surgery to prevent exposure keratitis to prevent loss or impairment of vision especially in facial burns

10001

Network Hospital

1292

18.6

Ear reconstruction

41885

Network Hospital

1293

18.71.1

Reconstruction or prosthetic appliance for absent ear

30000

Government Hospital

1294

18.79

Surgical Correction of anamolies of Ear (cup & bat ears)

25004

Government

Hospital 1295

21.7.1

Nose fractures with implants

45000

Network Hospital

1296

21.8

Nose deformities with functional disturbances

60000

Network Hospital

1297

25.2.3

Macroglossia Correction

44999

Government Hospital

1298

25.59

Micrognathia - pierre robbinsequalae

65013

Government Hospital

1299

27.5

Tessier¿s cleft

51501

Network Hospital

1300

27.53

Palatal fistula Repair

39800

Network Hospital

1301

27.54.1

Surgical Management Of Cleft Lip

25000

Government Hospital

1302

27.54.4

Cleft lip nasal deformity correction

75001

Network Hospital

1303

27.63

Secondary correction of cleft lip/palate

60001

Network Hospital

1304

39.7

Surgical correction for Vascular malformations

32946

Network Hospital

1305

58.45.6

Hypospadias cripples

39678

Network Hospital

1306

58.45.7

Epispadias / exstrophy

21088

Network Hospital

1307

63.8

Vasovasalanastamosis

60000

Network Hospital

1308

64.44.1

Penis reconstruction - pedicled

75000

Network Hospital

1309

64.44.2

Penis reconstruction - micro vascular

125001

Network Hospital

1310

66.79

Tuboplasty/Open Tubal Recanalisation

26590

Network Hospital

1311

70.62

Reconstructive procedures for vaginal atresia

37452

Government Hospital

1312

76.41

Surgical Correction of lid retraction with Tumour of Mandible And Maxilla

58850

Network Hospital

1313

76.41.1

Corrcetion of lid retraction

25001

Government Hospital

1314

76.6.1

Functional corrective surgery for sequel of facial injuries

70001

Network Hospital

1315

76.6.2

Orthognathic surgeries involving facial bones

80000

Network Hospital

1316

76.7.2

Panfacial fractures combination with polytrauma

102514

Network Hospital

1317

76.71.1

Zygoma/orbital fractures

74467

Network Hospital

1318

76.71.2

Zygoma/ Orbital Fractures

78456

Network Hospital

1319

76.73.1

Maxilla fractures lefort II

72012

Network Hospital

1320

76.73.3

Surgical Correction Of Fracture Lefort III

51088

Network Hospital

1321

76.73.5

Maxilla fractures lefort III

74497

Network Hospital

1322

76.75.1

Facial bone fractures - mandible fracture single with implants

50000

Network Hospital

1323

76.75.3

Facial bone fractures - mandible fracture multiple with implants

75001

Network Hospital

1324

76.9

Frontonasoethmoid fractures with implants

100001

Network Hospital

1325

76.91

Alveolar bone grafting with bone graft

30319

Network Hospital

1326

77.98

Polydactyly Repair

29238

Network Hospital

1327

78.41.2

Calvarial reconstruction

75000

Network Hospital

1328

82.1

Treatment for trisser fingerenosynovitis(82.2)

28735

Network Hospital

1329

82.6.1

Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction conventional surgery

63536

Network Hospital

1330

82.6.2

Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction microsurgery

85539

Network Hospital

1331

82.48

Surgical correction for Congenital Deformity of Hand (Per Hand)

23509

Network Hospital

1332

82.56.1

Tendon transfer procedure for wrist drop

32000

Network Hospital

1333

82.8

Surgical Correction of Leprosy Reconstructive Surgery

21406

Government Hospital

1334

82.82

Cleft hand / foot Correction

52232

Network Hospital

1335

82.84

Mallet finger Surgery

26681

Network Hospital

1336

82.89

Boutonnierie¿s deformity Repair

35001

Network Hospital

1337

82.99.1

Finger tip injuries Repair

20114

Network Hospital

1338

83

Compressive neuropathies

30696

Network Hospital

1339

83.3.1

Treatment for supparativechondritis

30001

Network Hospital

1340

83.77

Free functional muscle transfer

76713

Network Hospital

1341

83.8

Post cabg(sternal dehiscence/osdo Repair

40756

Network Hospital

1342

83.84.2

Corrective surgery for congenital deformities of foot (per foot)

50000

Network Hospital

1343

83.91.1

Post Burn Contracture Surgeries - Mild

38564

Network Hospital

1344

83.91.2

Post Burn Contracture Surgeries - Moderate

40594

Network Hospital

1345

83.91.3

Post Burn Contracture Surgeries - Severe

47997

Network Hospital

1346

83.99.1

Mgt of electrical burns with vital expossed with flapcover

50000

Network Hospital

1347

84

Amputation of hand / fore arm / arm / foot / leg / thigh with skin cover (84.1)

38026

Network Hospital

1348

84.01.2

Amputation of digit with skin cover(84.11)

25000

Network Hospital

1349

84.08.2

Disarticulation through shoulder

36510

Network Hospital

1350

84.17.2

Disarticulation through thigh

40000

Network Hospital

1351

84.22.1

Reimplantation / revascularization - multiple digits per finger

83919

Network Hospital

1352

84.22.2

Reimplantation / revascularization - single digit

83919

Network Hospital

1353

84.23

Reimplantation / revascularization - wrist

83919

Network Hospital

1354

84.25

Toe transfer

85555

Network Hospital

1355

85.3.1

Breast reduction for gynacomastia-male

37643

Network Hospital

1356

85.3.2

Breast reduction for gigantomachia female

49913

Network Hospital

1357

85.7.2

Post mastectomy breast reconstruction with flap and tissue expandor

85842

Network Hospital

1358

85.87

Nipple areola reconstruction

38223

Network Hospital

1359

86.04

Reduction Surgery For Filarial Lymphoedema

39615

Network Hospital

1360

86.22.1

Debridement and primary closure for avulsion injuries(86.59)

55000

Network Hospital

1361

86.22.2

Debridement and skin grafting for avulsion injuries(86.63)

75000

Network Hospital

1362

86.28.1

Surgical Management of 40% mixed burns

65003

Network Hospital

1363

86.28.2

Surgical Management of 50% mixed burns

115262

Network Hospital

1364

86.28.3

Surgical Management of 60% mixed burns

133543

Network Hospital

1365

86.28.4

Surgical Management of above 60% mixed burns

131585

Network Hospital

1366

86.59

Eyelid injuries / avulsions - major (more than 25% either in thickness or length)

60000

Network Hospital

1367

86.59.1

Nose injuries / avulsions- primary closure/ skin graft(86.6)

40000

Network Hospital

1368

86.59.2

Ear injuries / avulsions - primary closure/ skin graft(86.6)

40000

Network Hospital

1369

86.59.3

Lip injuries / avulsions - primary closure/ skin graft(86.6)

40000

Network Hospital

1370

86.6.1

Any raw area which needs skin grafting - mild<5%

32610

Network Hospital

1371

86.6.2

Any raw area which needs skin grafting - moderate 5-10%

36663

Network Hospital

1372

86.6.3

Any raw area which needs skin grafting - major - >10 %

49894

Network Hospital

1373

86.63.1

Sub mucosal fibrosis - surgical management with grafts

60000

Network Hospital

1374

86.63.2

Extensive degloving injuries / lacerations of the face in rta / animal bites with exposure of vital structures

75000

Network Hospital

1375

86.70.1

Surgical management for keloid & hypertrophic scar requiring flap cover

25305

Network Hospital

1376

86.70.2

Pedicle flap

70148

Network Hospital

1377

86.70.3

Sub mucosal fibrosis - surgical management with flap

48423

Network Hospital

1378

86.73.1

Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture - flap division

59027

Network Hospital

1379

86.73.2

Crush injury hand involving loss of skin and vital parts requiring flap cover

48941

Network Hospital

1380

86.74.1

Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture- flap insert

60000

Network Hospital

1381

86.74.2

Micro vascular reconstruction flap (post burns, post neoplastic, trauma, post traumatic, congenital)

90315

Network Hospital

1382

86.74.3

Nose injuries / avulsions -flap cover

33746

Network Hospital

1383

86.74.4

Ear injuries / avulsions - flap cover

35368

Network Hospital

1384

86.74.5

Lip injuries / avulsions - flap cover

33292

Network Hospital

1385

86.74.6

Scar revision procedures involving natural orifices

27983

Network Hospital

1386

86.81.1

Reconstructive surgery for facial palsy -micro vascular

80546

Network Hospital

1387

86.81.2

Surgical Correction of Hemifacial Atrophy

88333

Government Hospital

1388

86.81.3

Reconstructive surgery for facial palsy -conventional

79594

Network Hospital

1389

86.81.4

Surgical Correction of hemifacial microsomia

81011

Network Hospital

1390

86.84

Post traumatic squeal like contractures, severe hypertrophy, unstable scars, non-healing ulcers etc.,

38773

Network Hospital

1391

86.85

Surgical Management of Syndactyly of Hand For Each Hand

32746

Network Hospital

1392

86.93

Tissue expansion -for functional purpose

45148

Network Hospital

1393

96.5.1

Conservative management of 40% burns

60001

Network Hospital

1394

96.5.2

Conservative management of 50% burns

120000

Network Hospital

1395

96.59.5

Conservative management of 60% burns

200002

Network Hospital

1396

99.1

Injection treatment - each sitting for keloid,haemangioma, lymphangioma and vascular malformations

20000

Government Hospital

150000

Network Hospital

S15. POLYTRAUMA 1397

05.9

Surgical Treatment (Up To) for Neuro Surgical Trauma

1398

31.1

Tracheostomy

6233

Network Hospital

1399

34.32

Thoracostomy

10523

Network Hospital

1400

34.71

Surgical Treatment for Chest injuries

28809

Network Hospital

1401

54.7.1

Surgical Management for Abdominal Injuries

75000

Network Hospital

1402

76.7.1

Surgical treatement of fascial bone fracture

15000

Network Hospital

1403

78.10.3

Surgical management with K-Wiring for Small bone fractures (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure)

4999

Network Hospital

1404

78.16

Surgical Management of Patella Fracture (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure)

5001

Network Hospital

1405

78.59

Surgical Correction Of Pelvic Bone Fractures.

34898

Network Hospital

1406

79

Surgical Correction Of Longbone Fracture

30001

Network Hospital

1407

79.6.1

Surgical Management of Grade I&II Compound Fractures

15000

Network Hospital

1408

79.6.2

Surgical Management of Grade III Compound Fractures

26001

Network Hospital

1409

79.6.3

Surgical Management of wound In Compound Fracture with Flap cover(86.7)

26000

Network Hospital

1410

84.11.2

Toes Amputation

10001

Network Hospital

1411

84.91.1

Amputation surgery

10000

Network Hospital

1412

83.6

Management of Soft Tissue Injury

6502

Network Hospital

1413

93.9.2

Intesive care management for Chest injuries in RICU Rs. 4000/- per day

35004

Network Hospital

1414

96.59.1

Medical management of Neurosurgical troma in general ward @900/- day

10800

Network Hospital

1415

96.59.2

Conservative management of chest injuries in general ward @900/- day

5400

Network Hospital

1416

96.59.3

Conservative management of Abdominal surgical in general ward Major @900/- day

5401

Network Hospital

1417

96.7.1

Intesive care managementof Neuro Surgical Trauma in Neuro Icu @Rs.4000/Day

48000

Network Hospital

1418

96.7.2

Intesive care management for Abdominal Injuries In Surgical

27999

Network Hospital

[email protected]/Day S16. COCHLEAR IMPLANT SURGERY 1419

20.95

Behind Ear Analogue Hearing Aid for Hearing impaired

10001

Network Hospital

1420

20.96

Cochlear Implant Surgery for children below 2 years

520002

Network Hospital

1421

95.49.3

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Second Installment

20000

Network Hospital

1422

95.49.2

Auditory - Verbal Therapy - 751

21028

Network Hospital

1423

95.49.4

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Third Installment

20001

Network Hospital

1424

95.49.5

Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Fourth Installment

20000

Network Hospital

1425

95.49.7

Initial mapping switch on for auditory verbal therapy

50000

Network Hospital

1426

95.49.8

Post switchon mapping /initiation of avt and Training of child and mother first installement

20000

Network Hospital

S17. Prostheses 1427

84.40.1

SYMES Prostheses - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1001

Network Hospital

1428

84.40.2

SYMES Prostheses - Fibre

1201

Network Hospital

1429

84.40.3

SYMES Prostheses - Modular

1501

Network Hospital

1430

84.41.1

Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1500

Network Hospital

1431

84.41.2

Upper Limb - Fibre

1801

Network Hospital

1432

84.41.3

Upper Limb - Modular

3501

Network Hospital

1433

84.43.1

Whole Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1001

Network Hospital

1434

84.43.2

Whole Upper Limb - Fibre

1201

Network Hospital

1435

84.43.3

Whole Upper Limb - Modular

1500

Network Hospital

1436

84.44.1

Above Elbow - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1500

Network Hospital

1437

84.44.2

Above Elbow - Fibre

2000

Network Hospital

1438

84.44.3

Above Elbow - Modular

4000

Network Hospital

1439

84.45.1

Above Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1501

Network Hospital

1440

84.45.2

Above Knee - Fibre

1801

Network Hospital

1441

84.45.3

Above Knee - Modular

3501

Network Hospital

1442

84.45.4

Above Knee - Partial Foot Prostheses

501

Network Hospital

1443

84.46.1

Below Knee/ Petellar Tendon Bearing - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1201

Network Hospital

1444

84.46.2

Below Knee/Petellar Tendon Bearing - Fibre

1500

Network Hospital

1445

84.46.3

Below Knee/Petellar Tendon Bearing - Modular

3000

Network Hospital

1446

84.47.1

Through Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP)

1500

Network Hospital

1447

84.47.2

Through Knee - Fibre

1800

Network Hospital

1448

84.47.3

Through Knee - Modular

3500

Network Hospital

1449

84.47.4

HIP Disarticulation prostheses-HDP/PP

2501

Network Hospital

1450

84.47.5

HIP Disarticulation prostheses- fibre

3000

Government Hospital

1451

84.47.6

HIP Disarticulation prostheses- Modular

6000

Network Hospital

S18 Dental Surgery 1452

21.7.2

Surgical Management of Naso Ethmoidal Floor Fracture - G.A

18344

Network Hospital

1453

21.82

Surgical Closure Oro-Nasal Fistula

7453

Network Hospital

1454

22.31.1

Sinus Lift Procedure Without Grafting (22.39)

17135

Network Hospital

1455

22.31.2

Sinus Lift Procedure With Grafting (22.39/76.91)

18730

Network Hospital

1456

23.01

Simple Extraction Of Tooth

300

Government Hospital

1457

23.2.1

Application Of Pit & Fissure Sealants (Pedo)

580

Government Hospital

1458

23.2.2

Amalgam Restoration Per Tooth

336

Government Hospital

1459

23.2.3

Temporary Filling Per Tooth

251

Government Hospital

1460

23.2.4

Tooth Coloured Restoration Per Tooth

452

Government

Hospital 1461

23.3.1

Fabrication & Cementation Of Inlay & Onlay-Ceramic

2626

Government Hospital

1462

23.3.2

Fabrication & Cementation Of Inlay & Onlay-Metal

1658

Government Hospital

1463

23.4.1

Flouride Gel Application (Pedo)

1404

Government Hospital

1464

23.4.2

Treatment Under Conscious Sedation

830

Network Hospital

1465

23.4.3

Vital Bleaching Procedure For 8 Upper Teeth

1106

Network Hospital

1466

23.4.4

Restoration With Composite Veneers (Pertooth)

602

Network Hospital

1467

23.4.5

Preparation & Cementation Of Anterior All Ceramic Laminates

3222

Network Hospital

1468

23.4.6

Atraumatic Restorative Treatment

764

Network Hospital

1469

23.4.7

Pulpotomy & Pulpectomy With Ssc

903

Government Hospital

1470

23.5

Management Of Avulsed Tooth

932

Government Hospital

1471

23.6.1

Surgical Placement Of Dental Implants Under L.A

1472

23.6.2

Treatment with Micro Implants (Each)

1473

23.6.3

1474

23.6.4

11227

Network Hospital

599

Network Hospital

Surgical Placement Of Eye Prosthesis With Implants

40449

Network Hospital

Surgical Placement Of Nose Prosthesis With Implants

36033

Network Hospital

1475

23.6.5

Surgical Placement Of Zygomatic Implants Under G.A

129565

Network Hospital

1476

23.7.1

Root Canal Treatment - Deciduous Tooth

885

Government Hospital

1477

23.7.2

Anterior Root Canal Treatment

2001

Government Hospital

1478

23.7.3

Apicoectomy

2000

Government Hospital

1479

23.7.4

Root Canal Treatment With Hemisection Of Root

4000

Network Hospital

1480

23.7.5

Posterior Root Canal Treatment

2001

Government Hospital

1481

23.7.6

Apicoectomy With Grafting (76.91)

2219

Network Hospital

1482

23.11

Root Resection

1932

Network Hospital

1483

23.19.1

Extraction Of III Molar / Impacted Toot Under L.A

2000

Network Hospital

1484

23.19.2

Surgical Extraction Of Tooth

1485

Network Hospital

1485

23.19.3

Extraction Of Deep Bony Impacted Tooth Under G.A.

10000

Network Hospital

1486

23.41.1

Preparation And Cementation Of Acrylic Crown

414

Network Hospital

1487

23.41.2

Fabrication & Cementation Of Metal Ceramic Crown (Per Unit)

1349

Network Hospital

1488

23.41.3

Preparation & Cementattion Of Anterior All Ceramic Crown

3054

Network Hospital

1489

23.41.4

Placement Of Stainless Steel Crown (Per Tooth)

692

Network Hospital

1490

23.41.5

Fibre Post & Core Restoration With Anterior All Ceramic Crown (23.4)

3551

Network Hospital

1491

23.41.6

Fibre Post & Core Restoration With Metal Ceramic Crown (23.4)

2269

Network Hospital

1492

23.41.7

Metal Post & Core Restoration With Metal Ceramic Crown (23.4)

2287

Network Hospital

1493

23.42.1

Placement Of Fixed Habit Breaking Appliances

2055

Network Hospital

1494

23.42.2

Tretament With Expansion Plate

1638

Network Hospital

1495

23.43.1

Fabrication & Insertion Of Removable Habit Breaking Appliance

1516

Network Hospital

1496

23.43.2

Fabrication & Insertion Of Removable Appliance (Upper / Lower )

1575

Government Hospital

1497

23.43.3

Fabrication & Insertion Of Removable Functional Appliance

2849

Government Hospital

1498

23.43.4

Fabrication & Insertion Of Removable Partial Denture- Single Tooth

547

Government Hospital

1499

23.43.5

Fabrication & Insertion Of Removable Retainers-Each Arch

684

Network Hospital

1500

23.43.6

Fabrication & Insertion Of Fixed Space Maintainers / Space Retainer

1281

Network Hospital

1501

23.43.7

Fabrication & Insertion Of Removable Space Maintainers (Pedo)

996

Network Hospital

1502

23.43.8

Treatment With Inclined Plane

891

Network Hospital

1503

23.43.9

Fabrication Of Occlusal Night Guard (Hard Or Soft)

1003

Network Hospital

1504

24.1

Operculectomy

441

Government Hospital

1505

24.2.1

Sub Gingival Curretage Per Quadrant

830

Government Hospital

1506

24.2.2

Gingivectomy (Per Quadrant)

1172

Network Hospital

1507

24.2.3

Gingivectomy-Single Tooth

621

Government Hospital

1508

24.2.4

Flap Surgery - Single Tooth

736

Network Hospital

1509

24.2.5

Crown Lengthening Procedure (24.6)

947

Network Hospital

1510

24.2.6

Root Coverage Procedure (Per Tooth)

1643

Network Hospital

1511

24.3.1

Osseous Surgery

3472

Network Hospital

1512

24.3.2

Flap Surgery (Per Quadrant)

1721

Network Hospital

1513

24.3.3

Flap Surgery With Bone Grafting (Per Quadrant)

2076

Network Hospital

1514

24.3.4

Free Gingival Graft-Gum Surgery

2246

Network Hospital

1515

24.3.5

Gingival De Pigmentation Procedure

1522

Network Hospital

1516

24.3.6

Local Drug Delivery -Periodontal Treatments

1006

Network Hospital

1517

24.4.1

Pre Prosthetic Surgery - Ridge Augmentation(Full mouth)

20858

Network Hospital

1518

24.4.2

Resection And Reconstruction (Tumor) (76.46)

20859

Network Hospital

1519

24.4.3

Surgical Managemant Of Cyst(<2.5 cm) Under L.A.

1714

Government Hospital

1520

24.4.4

Excision Of Growth Under L.A.

3324

Government

Hospital 1521

24.4.5

Surgical Managemant Of Cyst(> 2.5 cm) Under G.A.

10673

Government Hospital

1522

24.4.6

Excision Of Growth Under G.A.

14836

Government Hospital

1523

24.4.7

Excision Of Precancerous Lesions Under L.A

6232

Government Hospital

1524

24.4.8

Excision Of Precancerous Lesions Under G.A

10472

Government Hospital

1525

24.4.9

Excision Of Precancerous Lesions With Grafting (76.91)

13244

Government Hospital

1526

24.4.10

Surgical Excision With Grafting (76.91)

20921

Network Hospital

1527

24.4.11

Enucleation Of Cyst/ Tumor

10472

Government Hospital

1528

24.5.1

Alveoloplasty (Quadrant)

692

Government Hospital

1529

24.7.1

Rapid Maxillary Expansion With Hyrax Screwifr Palatal Expanders

4718

Network Hospital

1530

24.7.2

Treatment With Temporary Anchorage Devices

1923

Network Hospital

1531

24.7.3

Treatment With Fixed Functional Appliances

3576

Network Hospital

1532

24.7.4

Fixed Orthodontics Treatment-Ceramic Braces

5140

Network Hospital

1533

24.7.5

Fixed Orthodontics Treatment-Metal Braces

10679

Network Hospital

1534

24.7.6

Treatment With Fixed Retainers

1020

Network Hospital

1535

24.7.7

Fabrication Of Acrylic Splinting Arch ( In Auto Polymerizing Acrylic)

1049

Network Hospital

1536

24.7.8

Fabrication & Insertion Of Feeding Plate (Acrylic)

917

Network Hospital

1537

24.7.9

Fabrication & Insertion Of Obturator -Acrylic

850

Network Hospital

1538

24.7.10

Fabrication & Insertion Of Obturator & Speech Bulb-Acrylic

1983

Network Hospital

1539

24.9

Relining / Rebasing of Complete Denture

927

Network Hospital

1540

24.91.1

Vestibuloplasty - Maxilla / Mandible- G.A.

24242

Network Hospital

1541

24.91.2

Vestibuloplasty - Maxilla / Mandible- L.A

13222

Network Hospital

1542

24.91.3

Sulcus Extention Procedure

2339

Network Hospital

1543

24.99.1

Surgical Placement Of Nose Prosthesis

2038

Network Hospital

1544

24.99.2

Surgical Placement Of Ear Prosthesis

2176

Network Hospital

1545

25.92

Frenectomy

657

Government Hospital

1546

26.29.1

Surgical Removal Of Sialolith -L.A.

25001

Network Hospital

1547

26.29.2

Surgical Removal Of Sialolith -G.A.

35000

Network Hospital

1548

27.1

Incision & Drainage of Simple Abscess (per Tooth)

658

Government Hospital

1549

27.2

Incision & Drainage of Facial Abscess Under G.A

8003

Government Hospital

1550

27.3

Incision & Drainage of Facial Abscess Under L.A

3500

Government Hospital

1551

76.01

Sequestrectomy & Saucerization Of Osteomyelitis Of Maxilla & Mandible

30001

Network Hospital

1552

76.31.2

Marginal Mandibulectomy- Osteomyelitis

20876

Network Hospital

1553

76.31.5

Coronoidectomy

11683

Network Hospital

1554

76.64.1

Segmental Osteotomy Mandible

13882

Network Hospital

1555

76.64.2

Vertical Sub Sigmoid Osteotomy

7470

Network Hospital

1556

76.64.3

Bilateral Sagittal Split Osteotomy Of Mandible (BSSO)

29163

Network Hospital

1557

76.65

Anterior Segmental Osteotomy - Maxilla / Mandible (ASO)

22886

Network Hospital

1558

76.65.2

Segmental Osteotomy Maxilla

13636

Network Hospital

1559

76.73.2

Surgical Management Of Combined Fracture Of Mandible & Maxilla (76.74/76.75/76.76)

31868

Network Hospital

1560

76.74.1

Surgical Correction Of Fracture Lefort II

37964

Network Hospital

1561

76.74.2

Open Reduction & Internal Fixation Of Jaw Fractures Under G.A. (76.76)

12503

Network Hospital

1562

76.75.2

Closed Reduction & Immobilisation Of Mandibular Fracture Under L.A.

1883

Network Hospital

1563

76.75.4

Surgical Correction Of Fracture Lefort I -G.A. (76.76)

37833

Network Hospital

1564

76.93.1

Surgical Management Of TMJ Dislocation (G.A.) (76.94)

15000

Government Hospital

1565

78.3.1

Distraction Osteogenesis- Mandible- G.A.

36192

Network Hospital

1566

78.3.2

Distraction Osteogenesis- Maxilla- G.A.

36395

Network Hospital

1567

78.3.3

Alveolar Distraction L.A.

5134

Network Hospital

1568

81.2

Surgical Management Of TMJ Ankylosis (G.A.)

16417

Government Hospital

1569

86.3.1

Radio Frequency & Thermo Coagulaton For Treatment Of Trigeminal Neuralgia

15623

Network Hospital

1570

86.3.2

Cryosurgery In Dental Procedures

10828

Network Hospital

1571

86.3.4

Laser Treatment For Precancerous Lesions

1068

Network Hospital

1572

93.23.1

Chin Cup Thepary

4363

Network Hospital

1573

93.23.2

Head Gear Therapy

4149

Network Hospital

1574

93.23.3

Face Mask Therapy

3446

Network Hospital

1575

95.34

Surgical Placement Of Eye Prosthesis

2484

Network Hospital

1576

93.55.1

Intermaxillary Fixation(IMF) For Alveolar Fractures Under L.A.

4174

Network Hospital

1577

93.55.2

Splinting Of Teeth Under L.A(24.7)

951

Government Hospital

1578

96.54.1

Oral Prophylaxis - Extrinsic Stains (Upper/ Lower)

427

Government Hospital

1579

96.54.2

Oral Prophylaxis - Calculi (Upper/ Lower)

562

Government Hospital

1580

99.97.1

Fabrication & Insertion Of Complete Denture (U & L)

5668

Government Hospital

1581

99.97.2

Fabrication & Insertion Of Complete Denture (Upper / Lower)

3177

Government Hospital

1582

99.97.3

Fabrication & Insertion of Soft Liner Denture

7475

Network Hospital

1583

99.97.4

Fabrication & Insertion Of Cast Partial Dentures Framework With Precission Attachments

9796

Network Hospital

1584

99.97.5

Fabrication Of Over Dentures Without Attachments

5931

Network Hospital

1585

99.97.6

Fabrication Of Over Dentures -Implant Supported (2 units)

26369

Network Hospital

1586

99.97.7

Fabrication Of Over Dentures With Attachments

11196

Network Hospital

1587

99.97.8

Fabrication & Insertion Of Cast Partial Dentures Framework Per Unit

4830

Network Hospital

1588

G50.0

Medical Management Of Trigeminal Neuralgia

8000

Government Hospital

1589

K12.3

Medical Management of Oral Ulcers

5001

Government Hospital

1590

K13.21.A

Medical Management of Leukoplakia

3000

Government Hospital

1591

K13.21.B

Medical Management of Premalignant Lesions And Conditions (Antioxidant Therapy) ( K13.29/K13.5)

5000

Government Hospital

1592

K13.5.A

Hesters Opener Procedure - Management of OSMF

25000

Network Hospital

1593

K13.5.B

Combination Of Intralesional Injection For Oral Submucous Fibrosis

3001

Government Hospital

1594

K13.5.C

Medical Management of OSMF

3000

Government Hospital

1595

K73.9.B

Chronic hepatitis, unspecified

12923

Government Hospital

1596

L43

Medical Management Of Lichen Planus

1108

Government Hospital

1597

M26.69

Mdical Management Of TMJ Dysfunction Syndrome (76.94)

5000

Government Hospital

1598

M79.1

Medical Management Of Myo FACIAL Pain Dysfunction Syndrome (MPDS)

5000

Government Hospital

M1 CRITICAL CARE 1599

J20.0

Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure

60000

Network Hospital

1600

J44.0

Medical Management of COPD with Respiratory Failure (Infective Exacerbation)

80000

Network Hospital

1601

J46

Medical Management of Acute Severe Asthma With Acute Respiratory Failure

50000

Network Hospital

1602

J80.A

Medical Management of ARDS

100000

Network Hospital

1603

J80.B

Medical Management of ARDS with Multi Organ failure (R65.1)

115000

Network Hospital

1604

J80.C

Medical Management of ARDS with DIC (Blood & Blood Products) (D65)

140001

Network Hospital

1605

R57.2

Intensive care management of Septic Shock

60000

Network Hospital

1606

T63

Medical Management of Poisioning Requiring Ventilatory Assistance

50000

Network Hospital

M2. GENERAL MEDICINE 1607

A01.A

Medical Management of Typhoid And Paratyphoid Fevers

20000

Government Hospital

1608

A09.9

Medical Management of Acute Gastroenteritis

15000

Network Hospital

1609

A17.0

Medical Management of Tb Meningitis

30001

Network Hospital

1610

A90

Medical Management of Dengue Fever

25000

Network Hospital

1611

A91

Medical Management of Dengue Haemorrhagic Fever

35000

Network Hospital

1612

B50

Medical Management of Falciparum Malaria

10000

Network Hospital

1613

B50.0

Medical Management of Cerebral Malaria

25001

Network Hospital

1614

B51

Medical Management of Vivax Malaria

10000

Government Hospital

1615

D46

Medical Management of Myelodysplastic Syndromes

30000

Network Hospital

1616

D56.1

Medical Management of Chelation Therapy For Thalassemia Major

15000

Network Hospital

1617

D61.0

Medical Management of Pancytopenia

30000

Network Hospital

1618

D64.9.B

Medical Management of Anaemias (Less Than 7 Gms)/ Heart Failure

30000

Network Hospital

1619

D66

Medical Management of Hemophilia (D67/D68.0)

60000

Network Hospital

1620

D69.5

Medical Management of Thrombocytopenia With Bleeding Diathesis

30000

Network Hospital

1621

D69.9

Medical Management of Other Coagulation Disorders

44000

Network Hospital

1622

G72.3

Medical Management of Periodic Paralysis

15000

Network Hospital

1623

G93.4

Medical Management of Metabolic Encephalopathy

35000

Network Hospital

1624

I00.1

Medical Management of Acute Rheumatic Fever

15000

Network Hospital

1625

I13.9

Medical Management of Hypertensive Emergencies

20000

Network Hospital

1626

R40.2

Medical Management of Metabolic Coma Requiring Ventilatory Support

35000

Network Hospital

1627

T63.0

Medical Management of Snake Bite Requiring Ventilator Support

60000

Network Hospital

1628

T63.2.A

Medical Management of Scorpion Sting Requiring Ventilator Support

25000

Network Hospital

Medical Management of Severe Tetanus

27970

Network Hospital

M3 INFECTIOUS DISEASES 1629

A35

1630

A36.A

Medical Management of Complicated Diphtheria

26797

Network Hospital

1631

B45.1

Medical Management of Cryptococcal Meningitis

29796

Network Hospital

Medical Management of Enteric Fever Complicated in Paediatric patient

10733

Network Hospital

Medical Management of Acute gastritis in Paediatric patient

8330

Government

M4. PEDIATRICS 1632

A01.B

1633

A09.0.B

Hospital 1634

A15

Medical Management of Pulmonary koch's with complications in Paediatric patient

10000

Network Hospital

1635

A17.A

Medical Management of Neuro Tuberculosis in Paediatric patient

15000

Network Hospital

1636

A17.B

Medical Management of Neuro Tuberculosis With Ventilation in Paediatric patient

25000

Network Hospital

1637

A33

Medical Management of Tetanus in Paediatric patient

13551

Network Hospital

1638

A36.B

Medical Management of Diphtheria in Paediatric patient

15000

Network Hospital

1639

A99

Medical Management of Viral haemmaragic fever with complicatons in Paediatric patient

25000

Network Hospital

1640

B19

Medical Management of Viral hepatitis in Paediatric patient

10000

Network Hospital

1641

D59.1

Medical Management of Auto immune hemolytic anemia in Paediatric patient

15001

Network Hospital

1642

D64.9.A

Medical Management of Anemia Of Unknown Cause in Paediatric patient

10000

Network Hospital

1643

D68.0

Medical Management of Haemophillia Including Von Willibrands disease in Paediatric patients

20000

Network Hospital

1644

D69.0

Medical Management of Henoch - schonlein purpura in Paediatric patient

14377

Network Hospital

1645

D69.3

Medical Management of Idiopathic thrombocytopenic purpura in Paediatric patient

25000

Network Hospital

1646

E10.1

Medical Management of Diabetic Ketoacidosis in Paediatric patient

30000

Network Hospital

1647

E55.0

Medical Management of Rickets in Paediatric patient

8000

Government Hospital

1648

G00.9

Medical Management of Neuroinfections -Pyogenic Meningitis(Bacterial)

27984

Network Hospital

1649

G04.2.A

Medical Management of Meningo- Encephalitis in Paediatric patients (Non Ventilated)

40000

Network Hospital

1650

G04.2.B

Medical Management of Meningo- Encephalitis in Paediatric patients (Ventilated)

60000

Network Hospital

1651

G05

Medical Management of Encephalitis / Encephalopathy in Paediatric patient

25000

Network Hospital

1652

G41

Medical Management of Status Epilepticus

21513

Network Hospital

1653

G41.9

Medical Management of Convulsive Disorders/Status Epilepticus (Fits)in Paediatric patient

10000

Network Hospital

1654

G46

Medical Management of Stroke Syndrome in Paediatric patient

20000

Network Hospital

1655

G71.0

Medical Management of Muscular dystrophy in Paediatric patient

15000

Network Hospital

1656

G81.0

Medical Management of Acute flaccid paralysis in Paediatric patient

35000

Network Hospital

1657

I05

Medical Management of Rheumatic heart disease in Paediatric patient

15000

Network Hospital

1658

I33.0

Medical Management of Infective Endocarditis

25000

Network Hospital

1659

I40

Medical Management of Severe Myocarditis in Paediatric patient

40000

Network Hospital

1660

I41.1

Medical Management of Viral Myocarditis in Paediatric patient

20000

Network Hospital

1661

I50.9.D

Acquired heart disease with congestive cardiac failure

15000

Network Hospital

1662

I62.9

Medical Management of Intra Cranial Bleed in Paediatric patient

50000

Network Hospital

1663

J05.0

Medical Management of Croup in Paediatric patient

10002

Network Hospital

1664

J06.0

Medical Management of Acute pharyngo tonsillitis in Paediatric patient

5000

Network Hospital

1665

J18.0.A

Medical Management of Acute Broncho Lobar pneumonia With Empyema/ Pleural Effusion in Paediatric patients(J18.1/J43/J90)

25000

Network Hospital

1666

J18.0.B

Medical Management of Acute Broncho Lobar pneumonia With Pyo Pneumothorax in Paediatric patient(J18.1/J86/J93)

20000

Network Hospital

1667

K72.0.A

Medical Management of Acute Hepatitis With Hepatic Encephalopathy in Paediatric patient

50000

Network Hospital

1668

K76.6

Medical Management of Portal hypertension in Paediatric patient

15000

Network Hospital

1669

K85.A

Medical management of Acute Pancreatitis (Mild)

50001

Network Hospital

1670

K92.2.A

Medical Management of Acute Gastro Intestinal Bleed in Paediatric patients

25000

Network Hospital

1671

M05

Medical Management of Rheumatoid Arthritis Requiring Hospitalisation

30000

Network Hospital

1672

N00.1

Medical Management of Acute glomerulonephritis in Paediatric patient

10000

Network Hospital

1673

N04.A

Medical Management of Steroid Resistant Nephrotic Syndrome Complicated Or Resistant in Paediatric patients

25000

Network Hospital

1674

N04.B

Medical Management of Nephrotic syndrome-non steriod resistant in Paediatric patient

15000

Network Hospital

1675

N17.9.A

Medical Management of Acute Renal Failure in Paediatric patient

20000

Network Hospital

Medical Management of Acute Renal Failure With Dialysis in Paediatric patients

40000

Network Hospital

Medical Management of Renal Tubular Acidosis

18714

Network Hospital

N39.0.A

Medical Management of UTI (Urinary Tract Infection)

16306

Government Hospital

N39.0.B

Medical Management of Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure in Paediatric patient(N13.6/N17.9)

14165

Network Hospital

P00.1.A

Newborn (suspected to be) affected by maternal renal and urinary tract diseasesNewborn (suspected to be) affected by maternal conditions classifiable to N00-N39

16059

Government Hospital

P22.0.A

Medical Management of Severe Hyaline Membrane disease with clinically evident septicemia , Hyperbilirubinemia in 30 To 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

35000

Network Hospital

P22.0.B

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9)

35000

Network Hospital

P22.0.C

Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby requiring ventilatory support. (A41.9+P59.9+P21.9)

50000

Network Hospital

P22.0.D

Medical Management of Patent Ductus Arteriosus/ Severe Hyaline Membrane disease with clinically evident septicemia, Hyperbilirubinemia requiring ventilatory support in 30 To 34 Weeks Preterm baby. (A41.9+P59.9+Q25.0)

60000

Network Hospital

1676

N17.9.D

1677

N25.8

1678

1679

1680

1681

1682

1683

1684

1685

P22.0.E

Medical management of pre-term Baby of <30 weeks severe Hyline Membrance Disease septi cemia culture positive,Hyperbili rubinemia patient Ductus Arteriosus requiring Mechanical Ventilation.

1686

P22.9.A

Medical Management of Severe respiratory distress in paediatric patient not requiring ventilatory support

15000

Network Hospital

1687

P22.9.B

Medical Management of Severe respiratory distress in paediatric patient requiring ventilatory support.

20000

Network Hospital

1688

Q21

Medical Management of Cyanotic heart disease in Paediatric patient

10000

Network Hospital

1689

Q24.9.A

Medical Management of Congenital Heart Disease With Congestive Cardiac Failure in Paediatric patients

15000

Network Hospital

1690

Q24.9.B

Medical Management of Congenital Heart Disease With Infection (Non Ventilated) in Paediatric patient

25000

Network Hospital

1691

Q24.9.C

Medical Management of Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) in Paediatric patients

50000

Network Hospital

1692

R56.0

Medical Management of Febrile Seizures (Atypical- Mechanical Ventilated) in Paediatric patients

25000

Network Hospital

1693

R57.0.A

Medical Management of Cardiogenic Shock in Paediatric patients

50000

Network Hospital

1694

T63.2.B

Medical Management of Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance in Paediatric patients

40000

Network Hospital

1695

T65.9

Medical Management of Poison Ingestion/ Aspiration Requiring Ventilatory Assistance in Paediatric patients

40000

Network Hospital

90000

Network Hospital

M5 CARDIOLOGY 1696

I10.A

Medical Management of Accelerated Systemic Hypertension

10000

Network Hospital

1697

I20.8

Medical Management of CAD - Chronic Stable Angina

8000

Network Hospital

1698

I21.9.A

Management Of Acute MI without Angiogram

10000

Network Hospital

1699

I21.9.B

Management Of Acute MI With Angiogram

30001

Network Hospital

1700

I21.9.C

Medical Management of Acute MI-AHF-Not Requiring Ventilator

25001

Network Hospital

1701

I21.9.D

Medical Management of CAD-Acute MI With Pulmonary Edema – Requiring Ventilator

35001

Network Hospital

1702

I21.9.E

Medical Management of Acute MI With Cardiogenic Shock

30000

Network Hospital

1703

I21.9.F

Medical Management of Acute MI Requiring IABP Pump

55003

Network Hospital

1704

I26

Medical Management of Pulmonary Embolism

35000

Network Hospital

1705

I30

Medical Management Of Pericardial Effusion-Without Aspiration

5000

Network Hospital

1706

I31.3

Medical Management of Pericardial Effusion, Tamponade without Aspiration

16000

Network Hospital

1707

I49.9.A

Medical Management of Complex Arrhythmias

140003

Network Hospital

1708

I49.9.B

Ablation Therapy for Simple Arrythmias

91000

Network Hospital

1709

I49.9.C

Medical Management Of Simple Arrhythmias

8000

Network Hospital

1710

I50.0.A

CHF-Acute Decompensation-Medical Management Without Ventilator

10000

Network Hospital

1711

I50.0.B

CHF-Acute Decompensation-Medical Management With Ventilator

20000

Network Hospital

1712

I50.9.A

Medical Management of Chronic Heart Failure

5000

Network Hospital

1713

I50.9.B

Medical Management of Refractory Cardiac Failure

40000

Network Hospital

1714

I71.0.A

Medical Management Of Aortic Dissection

15000

Network Hospital

1715

I80.2

Medical Management of Deep Vein Thrombosis

25000

Network Hospital

1716

I82.9

Medical Management Of Vascular Embolisation

15001

Network Hospital

1717

M31.4

Medical Management Of Aortoarteritis

15000

Network Hospital

1718

R57.0.B

Medical Management Cardiogenic Shock (Non AMI) With Out Angiogram

15000

Government Hospital

1719

R57.0.C

Medical Management Cardiogenic Shock (Non AMI) With Angiogram

20000

Government Hospital

M6. NEPHROLOGY 1720

A41.9

Medical Management of Post Transplant Sepsis

36756

Network Hospital

1721

K65.9

CAPD Peritonitis

47989

Network Hospital

1722

N00

Medical Management of Acute Glomerulo Nephritis

26020

Network Hospital

1723

N04.C

Medical Management of Nephrotic Syndrome

16890

Government Hospital

1724

N17.9.B

Medical Management of Rapidly Progressive Renal Failure

30766

Network Hospital

1725

N17.A

Medical Management of AKI Without Dialysis

20000

Network Hospital

1726

N18.5

1727

N18.6.A

Medical Management of CKD Stage-V With Complications

30871

Network Hospital

Maintanence of CKD with Haemodialysis

12500

Network Hospital

M7. NEUROLOGY 1728

B69.0

Medical Management of Epilepsy - Idiopathic Neurocysticercosis Tuberculoma

15684

Network Hospital

1729

E83.0

Medical Management of Wilson'S Disease

15120

Network Hospital

1730

F03

Medical Management of Dementia

12942

Government Hospital

1731

G02.1

Medical Management of Neuroinfections -Fungal Meningitis

54331

Network Hospital

1732

G04.0

Medical Management of ADEM

20000

Network Hospital

1733

G05.1

Medical Management of Neuroinfections -Viral Meningoencephalitis (Including Herpes Encephalitis)

37521

Network Hospital

1734

G20

Medical Management of Parkinsonism

12194

Network Hospital

1735

G43

Medical Management of Migraine

4807

Government Hospital

1736

G61.0

Medical Management of Guillian-Barre Syndrome

80000

Network Hospital

1737

G61.8

Medical Management of Chronic Inflammatory Demyelinating Polyneuropathy(CIDP)

14338

Network Hospital

1738

G70.0

Medical Management of Neuromuscular disorders (Myasthenia Gravis)

21352

Network Hospital

1739

G71.2

Medical Management of Myopathies – Heriditary

10819

Network Hospital

1740

G72

Medical Management of Acquired Myopathies

19457

Network Hospital

1741

H46

Medical Management of Optic Neuritis

10888

Network Hospital

1742

I60

Medical Management of Hemorrhagic Stroke/Strokes(I61/I62/I63/I64)

31027

Network Hospital

1743

I63

Medical Management of Ischemic Strokes

20000

Network Hospital

1744

99.14.1

management with immuno globulin therapy - IV

74932

Network Hospital

Medical Management of Cold Abscess Chest Wall

12500

Network Hospital

Medical Management of Aspergilloma

24854

Network Hospital

Medical Management of A.B.P.A (Alergic Broncho Pulmonary Aspergillosis)

40000

Network Hospital

M8. PULMONOLOGY 1745

A18.4

1746

B44

1747

B44.0

1748

D86

Medical Management of Sarcoidosis

15000

Network Hospital

1749

E84

Medical Management of Cystic Fibrosis

20000

Network Hospital

1750

I77.8

Medical Management of Pulmonary Vasculitis

20000

Network Hospital

1751

J18.9

Medical Management of Pneumonias

30001

Government Hospital

1752

J43

Medical Management of Emphysema Without Respirative Failure

15000

Network Hospital

1753

J44.1

Medical Management of COPD Acute Exacerbation

15000

Government Hospital

1754

J44.8

Medical Management of Chronic Persistent Asthama

15000

Network Hospital

1755

J45

Medical Management of Bronchial Asthma (Acute and Chronic Severe)

15000

Government Hospital

1756

J47

Medical Management of Bronchiectasis with Repeated Hospitalisation>6per Year

30000

Network Hospital

1757

J64

Medical Management of Pneumoconiosis

35001

Network Hospital

1758

J68

Medical Management of Inhalational Lung Injuries

20000

Network Hospital

1759

J84.9

Medical Management of Interstitial Lung Diseases

30002

Network Hospital

1760

J85

Medical Management of Lung Abscess ,Non Resolving

35002

Network Hospital

1761

J86

Medical Management of Empyema

30000

Government Hospital

1762

J90

Medical Management of Pleural Effusion

30000

Government Hospital

1763

J93

Medical Management of Pneumothorax Recurrent

30000

Government Hospital

1764

J93.9

Medical Management of Pneumothorax (Large/Recurrent)

30000

Network Hospital

1765

J96.9.A

Medical Management of Acute Respiratory Failure (Without Ventilator)

25000

Network Hospital

1766

J96.9.B

Medical Management of Acute Respiratory Failure (With Ventilator)

50001

Network Hospital

1767

R04.2

Medical Management of Haemoptysis For Evaluation

30001

Government Hospital

M9. DERMATOLOGY

1768

A30

Medical Management of Leprosy Reactions & Deformities (Type I & Type Ii)

20000

Network Hospital

1769

A55

Medical Management of Chlamydial Tests

27286

Network Hospital

1770

B02.2

Medical Management of Herpes Zoster Post Herpetic Neuralgia

12722

Network Hospital

1771

B07

Medical Management of Electro/Cryocautery For Warts

8211

Network Hospital

1772

C43

Medical Management of Cutaneous Malignancies -Malignant Melanoma

13376

Network Hospital

1773

C44

Medical Management of Cutaneous Malignancies (Sq. Cell Ca ,Bcc, Lymphomas )

13376

Network Hospital

1774

L10

Medical management of Pemphigus

27767

Government Hospital

1775

L12

Medical Management of Bullous Disorders (Pemphigoid/Pemphigois)

23795

Network Hospital

1776

L23

Medical Management of Acute Contact Allergic Dermatitis

15000

Network Hospital

1777

L40

Medical Management of Pustular Psoriasis

25000

Network Hospital

1778

L50.0

Medical Management of Adverse Drug Reactions

14340

Network Hospital

1779

L50.9

Medical Management of Acute Urticaria

19414

Network Hospital

1780

L51

Medical Management of Erythema Multiforme

8642

Network Hospital

1781

L51.1

Medical management of Stevens- Johnson Syndrome

21656

Government Hospital

1782

L51.2

Medical management of Toxic Epidermal Necrolysis

37804

Government Hospital

Medical Management of Erythroderma

20000

Government Hospital

L80

Medical Management of Vitiligo Medical (OP Management)

15001

Network Hospital

1785

L95

Medical Management of Cutaneous Vasculitis

20000

Government Hospital

1786

M33.9

Medical Management of Dermatomyositis

20000

Network Hospital

1787

M34

Medical Management of Connective Tissue Disorders - Systemic Sclerosis

20000

Network Hospital

1788

M60

Medical Management of Connective Tissue Disorders - Dermatomyositis / Polymyositis

20229

Network Hospital

1783

L53.9

1784

M10. RHEUMATOLOGY 1789

D68.8

Medical Management of Anti Phospho Lipid Antibody Syndrome With Ischemia

50000

Network Hospital

1790

I77.9

Medical Management of Vasculitis Including Undifferentiated

30000

Government Hospital

1791

L93

Medical Management of Severe Lupus Erythamatosis

50000

Network Hospital

1792

L94.0

Medical management of Scleroderma

30000

Government Hospital

1793

M07

Medical Management of Severe Psoriatic Arthritis

20000

Government Hospital

1794

M08.0

Medical Management of Juvenile Idiorpathic Arthritis

20000

Network Hospital

1795

M08.2

Medical Management of Juvenile Idiorpathic Arthritis with systemic onset

30000

Network Hospital

1796

M10

Medical Management of Gout

10000

Government Hospital

1797

M12.8

Medical Management of Infection Related Arthrites

9664

Government Hospital

1798

M13.9

Medical Management of Undifferentiated Inflammatory Arthritis

30000

Government Hospital

1799

M32

Medical Management of SLE (Systemic Lupus Erythematosis)

25648

Government Hospital

1800

M32.1

Medical management of SLE (Systemic Lupus Erythematosis) with sepsis

71251

Government Hospital

1801

M35.0

Medical management of Primary Sjogren'S Syndrome

20000

Government Hospital

1802

M35.1

Medical Management of MCTD (Mixed Connective Tissue Disorder)

25001

Government Hospital

1803

M35.8

Medical Management of Undifferentiated Connective Tissue Disorder

20284

Network Hospital

1804

M48.9

Medical Management of Severe Spondylo Arthropathies

24753

Government Hospital

1805

M60.9.A

Medical Management of Inflamatory Myositis

30000

Network Hospital

1806

M60.9.B

Medical Management of Severe Myositis Requiring IVIG

30001

Network Hospital

1807

M80.9

Medical Management of Osteoporosis With Recent Painful Yertebral

14105

Government

Fracture 1808

M83

Medical Management of Osteomalacia

Hospital 12947

Network Hospital

M11. ENDOCRINOLOGY 1809

B46.1

Medical management of Rhinocerebral Mucormycosis

51619

Network Hospital

1810

E05.0

Medical Management of Grave'S Disease

10055

Network Hospital

1811

E11.2

Medical management of Pyelonephritis in uncontrolled Diabetes melitus

21511

Network Hospital

1812

E11.5

Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes melitus

41012

Network Hospital

1813

E22.0

Hormonal therapy for Pituitary - Acromegaly

18442

Network Hospital

1814

E23.0

Initial evaluation and management of Hypopituitarism without growth harmone

15079

Network Hospital

1815

E23.1

Hypopiturasim Initial Evaluation And Management With Growth Hormone

25997

Network Hospital

1816

E23.2

Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone

13561

Network Hospital

1817

E24.9

Medical Management of Cushings Syndrome

30000

Network Hospital

1818

E30.1

Medical Management of Precocious Puberty

15000

Network Hospital

1819

J22

Medical management of Lower Respiratoy Tract Infection

23001

Network Hospital

1820

J32.9

Medical management of Fungal Sinusitis

40940

Network Hospital

1821

K81

Medical management of Cholecystitis

29696

Network Hospital

1822

M82.1

1823

Q96

1824

Q98.4

Medical Management of Osteoporosis

11085

Government Hospital

Hormonal therapy for Delayed Puberty Hypogonadism-Turners Syndrome

14500

Network Hospital

Hormonal therapy for Delayed Puberty Hypogonadism - Kleinfelter Syndrome

14500

Network Hospital

M12. GASTRO ENTEROLOGY 1825

A04.9

Medical Management of Other Bacterial Intestinal Infections

17150

Government Hospital

1826

A08.4

Medical Management of Viral And Other Specified Intestinal Infections

17150

Network Hospital

1827

A09.0.A

Medical Management of Infective Proctitis entero Colitis

17150

Network Hospital

1828

A18.3

Medical Management of Abdominal Tuberculosis

20000

Network Hospital

1829

C24

Medical Management - SEMS (Stent) For Paliation Of Advanced Biliary Malignancy

51659

Network Hospital

1830

C25

Medical Management- SEMS (Stent) For Paliation Of Advanced Pancreatic Malignancy

51659

Network Hospital

1831

C26.9

Medical Management - SEMS (Stent) For Paliation Of Advanced GI Malignancy

33919

Network Hospital

1832

I82.0

Medical Management of Budd-Chiari Syndrome

34239

Network Hospital

1833

I84

Medical Management of Haemorrhoids

10132

Government Hospital

1834

I85

Medical Management of Oesophageal Varices with Sclerotherapy

10105

Network Hospital

1835

I85.1

Medical Management of Oesophageal Varices using Variceal Banding

12195

Network Hospital

1836

I86.4

Medical management of Gastric Varices

14899

Government Hospital

1837

J95.0

Medical management of Oesophageal Fistula

30001

Network Hospital

1838

K20

Medical Management of Infective Oesophagitis (Candida Viralbacterial)

12086

Network Hospital

1839

K21

Medical Management ofGastro Esophageal Reflux Disease

7426

Government Hospital

1840

K22.0

Medical management of Achalasia Cardia

13292

Government Hospital

1841

K22.1

Medical management of Corrosive Oesophageal Injury

21312

Network Hospital

1842

K22.2

Conservative management of Oesophageal Foreign Body

7928

Network Hospital

1843

K22.3.A

Conservative management of Oesophageal Perforation

50000

Network Hospital

1844

K22.3.B

Medical Management of Oesophageal Perforation, Conservative Management With Stent

33860

Network Hospital

1845

K22.6

Medical Management of Mallory Weiss Tear

10001

Government Hospital

1846

K26

Medical Management of Duodenal Ulcer

11234

Government Hospital

1847

K28

Medical Management of Gastric Ulcer

11906

Network Hospital

1848

K29.0

Medical Management of Erosive Gastritis

10636

Network Hospital

1849

K31.1

Medical Management of Gastric Outlet Obstruction

12611

Network Hospital

1850

K31.7

Medical Management of Gastric Polyp

11074

Network Hospital

1851

K31.8

Medical management of GAVE(Gastric Antral Vascular Ectasia)

20001

Network Hospital

1852

K50

Medical Management of Crohn'S Disease

42330

Network Hospital

1853

K51

Medical Management of Ulcerative Colitis

25372

Network Hospital

1854

K55.9

Medical Management of Ischaemic Bowel Disease

28698

Network Hospital

1855

K60.2

Medical Management of Fissure

5000

Network Hospital

1856

K62

Medical Management of Rectal Polyp ¿ Medical Management

7035

Government Hospital

1857

K62.3

Medical Management of Colorectal Polyps

10000

Government Hospital

1858

K62.6

Medical Management of Solitary Rectal Ulcer Syndrome

10233

Government Hospital

1859

K62.7

Medical Management of Radiation Proctitis

10191

Government Hospital

1860

K72

Conservative management of Cirrhosis with Hepatic Encephalopathy

40002

Network Hospital

1861

K72.0.B

Medical Management of Acute Liver Failure

49501

Network Hospital

1862

K73.9

Medical Management of Chronic Hepatitis (Viral , Alchohol, NASH, Drug, auto Immune, metabolic)

22052

Government Hospital

1863

K74.6.A

Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN, Bleed

36868

Government Hospital

1864

K74.6.B

Medical Management of Compensated Cirrhosis

23263

Government Hospital

1865

K75

Medical Management of Liver Abscess (Amoebic, Pyogenic & Misc. Infections)

30000

Government Hospital

1866

K75.9

Medical Management of Acute Hepatitis (Viral, Alcohol, Drugs, Misc. Infections)

15000

Government Hospital

1867

K76.7

Medical management of Cirrhosis with Hepato Renal Syndrome

40000

Network Hospital

1868

K80

Medical Management of Gall Stone Diseases(Biliary Colic, cholangitis, cholecystitis)

23331

Government Hospital

1869

K83.0

Medical management of Sclerosing Cholangitis

75000

Network Hospital

1870

K83.1

Medical Management of Billiary Stricture

13060

Government Hospital

1871

K85.B

Medical management of Acute Pancreatitis (Severe)

150000

Network Hospital

1872

K86.1

Conservative management of Chronic Pancreatitis with Severe Pain

30001

Network Hospital

1873

K86.3.A

Conservative management of Acute Pancreatitis With Pseudocyst (Infected)

30000

Network Hospital

1874

K86.3.B

Medical Management of Chronic Pancreatitis With Pseudocyst Infected

30000

Network Hospital

1875

K90

Medical Management of Malabsorption Syndrome

30456

Government Hospital

1876

K90.3

Medical Management of Chronic Pancreatitics With Maldigestion

10000

Network Hospital

1877

K91.8

Medical management of Post op stent

46832

Network Hospital

1878

K91.9

Medical management of Post op leaks

47307

Network Hospital

1879

K92.0

Medical Management of Upper GI Bleed

43998

Government Hospital

1880

K92.1

Medical Management of Lower GI Bleed

45365

Network Hospital

1881

K92.2.B

Conservative management of Obscure GI Bleed

50001

Network Hospital

1882

R18

Medical Management of Ascities Of Any Etiology (Tubercolor, Melignant, Pancreatic, Biliary)

15003

Government Hospital

M13. PSYCHIATRY 1883

F20

Medical Management of Schizophrenia

28700

Government Hospital

1884

F23

Medical Management of Acute Psychotic Episode

25000

Government Hospital

1885

F31

Medical Management of Bipolar Affective Disorder (A. Type-1, B. Type-2)

30500

Government Hospital

* NOTE: TREATING HOSPITAL 1. GOVERNMENT HOSPITAL MEANS PROCEDURE WILL BE EXCLUSIVELY RESERVED FOR EMPANELLED GOVERNMENT HOSPITAL 2. NETWORK HOSPITAL MEANS PROCEDURE WIL BE IN EMPANELLED HOSPITAL COMPRISING BOTH GOVERNMENT AND PRIVATE HOSPITAL

OP PACKAGES FOR CHRONIC DISEASES IN EHS Sl No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Package Name Hypertension Hyperthyroidism Hypothyroidism Rhumatoid Arthritis Rheumatic Fever Cardiac Failure Osteo Arthritis Gout Psoriasis Chronic Hepatitis Cirrhosis Asthma Bronchial Convulsive Disorder Dementia Psychosis and Other Chronic Psychiartric problems Vascular occlusive disorder of Extremities SLE and other connective tissue disorders Inflammatory Bowel Disease Heamolytic disorders Neuropathies Peripheral Neuritis Nephrotic syndrome CKD Parkinsons disease CAD - Medical Arrhythmias

CHIEF SECRETARY TO GOVERNMENT

Price

Employees Health Scheme - ap teacher.net

Nov 1, 2013 - List of therapies and the package prices are placed in the Annexure. ...... 77.20.1. Long bone osteotomy with POP application & k-wires. 30001 ... Surgery for Avascular Necrosis Of Femoral Head (Core Decompression). 29286 ...... Amputation of hand / fore arm / arm / foot / leg / thigh with skin cover. (84.1).

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